A nurse is performing a routine assessment on a newborn.

The nurse gently drops the head of the newborn while supporting the body and observes symmetric abduction and extension of the arms followed by flexion and adduction of the arms.

This finding indicates a positive response for which of the following reflexes?

Moro reflex

Rooting reflex

Plantar grasp reflex

Stepping reflex

Answer and Explanation

The Correct Answer is A

This reflex is also known as the startle reflex and it is a protective reaction to a loud noise or sudden movement. When an abrupt sound startles the baby or their head falls backward, they extend their arms and legs, then flex and adduct their arms.

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Correct Answer is A

Explanation

This is a newborn reflex that occurs when the infant is startled by a loud noise or a sudden movement.The infant’s arms and legs symmetrically extend, then abduct while fingers spread to form a C-shape.This reflex helps the infant cling to the mother in case of a threat.

A. Babinski reflex B. Plantar grasp reflex C. Tonic neck reflex D. Startle reflex

Correct Answer is A

Explanation

This is a normal reflex in newborns that disappears by 12 to 18 months of age.

It indicates that the nervous system is developing properly.

The Babinski reflex is elicited by stroking the outer edge of the sole of the foot from heel to toe and observing the movement of the toes.

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Naxlex Comprehensive Predictor Exams

A nurse is evaluating an infant’s neuromuscular development by testing different reflexes. The nurse strokes the outer edge of the sole of the infant’s foot up toward the toes and observes that the infant’s toes fan upward and out. The nurse documents this as:

Correct Answer is A

Explanation

Correct Answer is A

Explanation

A nurse is evaluating a client who has a suspected stroke. The nurse asks the client to stick out his tongue and observes that it deviates to the left side. Which of the following cranial nerves is most likely affected?

A nurse is performing a neurological assessment on a newborn. Which of the following reflexes should disappear by 8 months of age? (Select all that apply.)

A nurse is performing a routine check-up on a 2-month-old infant. The nurse gently drops the infant from one hand to the other and observes that the infant’s arms and legs symmetrically extend, then abduct while fingers spread to form a C-shape. The nurse identifies this as:

A nurse is performing a routine assessment on a newborn. The nurse strokes the cheek of the newborn and notes that the newborn turns toward that side and opens his mouth. The nurse documents this finding as which of the following?

A nurse is observing a newborn’s reactions to different stimuli. The nurse touches the corner of the newborn’s mouth with a finger and sees that the newborn turns her head toward that side and starts to suck. The nurse recognizes this as:

A nurse is performing a neurological examination on a client who has a history of multiple sclerosis. The nurse notices that the client has difficulty walking and maintaining balance. Which of the following tests should the nurse use to assess the client’s coordination?

A nurse is teaching a group of parents about infant reflexes. Which of the following statements by a parent indicates an understanding of the teaching?