A nurse is performing an assessment of a newborn’s Babinski reﬂex. Which of the following findings should the nurse expect?

Eversion of the great toe

Flexion of the forearm

Downward curl of the toes

Extension of the leg

Answer and Explanation

The Correct Answer is A

The Babinski reﬂex is a normal reﬂex present in newborns and infants up to about 2 years old. It is elicited by stroking the lateral aspect of the sole of the foot from the heel towards the toes. A positive Babinski reﬂex is characterized by dorsiﬂexion (upward movement) of the big toe and fanning out of the other toes. This is also known as an extensor response.

Therefore, option a, eversion of the great toe, is the expected finding for a positive Babinski reﬂex. Options b, c, and d are not consistent with a positive Babinski reﬂex.

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Correct Answer is C

Explanation

Choice A is incorrect because medroxyprogesterone injections are typically given every three months, not every eight weeks.

Choice B is incorrect; the client will receive only one shot at a time, not two.

Choice C is correct; clients are advised to increase their calcium intake while on medroxyprogesterone to help prevent bone density loss, which can be a side effect of the medication.

Choice D is incorrect; spotting is a common side effect of medroxyprogesterone, and clients are usually advised to continue the medication despite this unless advised otherwise by their healthcare provider.

A. Abdominal distention B. Third-degree perineal laceration C. Vaginal candidiasis D. Afterpain

Correct Answer is B

Explanation

Constipation is a common postpartum issue due to decreased bowel motility, dehydration, and fear of pain during defecation. Suppositories are a common treatment option to help relieve constipation in postpartum clients. However, there are certain contraindications to the use of suppositories.

Option A, abdominal distention, is not a contraindication to the use of a suppository, as it can help relieve the distention and promote bowel movement.

Option C, vaginal candidiasis, is also not a contraindication to the use of a suppository. In fact, antifungal suppositories may be prescribed to treat the candidiasis.

Option D, afterpain, is not a contraindication to the use of a suppository, as afterpains are normal

postpartum contractions that occur as the uterus returns to its pre-pregnancy size.

Option B, third-degree perineal laceration, is a contraindication to the use of a suppository. The suppository can cause further trauma to the already injured perineal area and delay the healing process. In this case, alternative treatment options, such as stool softeners or laxatives, should be considered.

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A nurse is performing an assessment of a newborn’s Babinski reﬂex. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Correct Answer is B

Explanation

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