An instructor asks a nursing student to test a newborn’s rooting reflex. Which technique would be correct?
Offering the little finger to the infant’s mouth.
Stroking the infant’s cheek near the mouth.
Startling the neonate by jarring the crib and making a loud noise.
Stroking the lateral edge of the neonate’s foot.
The Correct Answer is B
Choice A reason: Offering a finger may elicit sucking, not rooting, which involves head-turning toward a stimulus. Stroking the cheek triggers the rooting reflex, so this is incorrect for testing the specific reflex.
Choice B reason: Stroking the infant’s cheek near the mouth elicits the rooting reflex, causing the newborn to turn toward the stimulus, seeking to nurse. This is the correct technique for testing this reflex.
Choice C reason: Jarring the crib tests the Moro reflex, not rooting, which is unrelated to startle responses. Cheek stroking is specific to rooting, so this incorrect for the reflex being assessed.
Choice D reason: Stroking the foot edge tests the Babinski reflex, not rooting, which involves oral seeking. The cheek is the correct area to stimulate, so this is incorrect for the rooting reflex.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Costovertebral angle tenderness is a classic sign of pyelonephritis, indicating kidney infection or inflammation. Percussing this area elicits pain in renal conditions, making it the correct condition to assess for tenderness.
Choice B reason: Cholecystitis causes pain in the right upper quadrant, not the costovertebral angle. Kidney-related pyelonephritis is linked to this tenderness, so this is incorrect for the assessment focus.
Choice C reason: Gastric ulcers cause epigastric pain, not costovertebral tenderness, which is renal-specific. Pyelonephritis is the condition associated with this sign, so this is incorrect for the suspected condition.
Choice D reason: Pancreatitis presents with abdominal pain, not costovertebral angle tenderness, which indicates kidney issues. Pyelonephritis is the relevant condition, so this is incorrect for the assessment.
Correct Answer is D
Explanation
Choice A reason: Absent bile pigment causes pale, clay-colored stools due to impaired bile flow from liver or gallbladder issues. Black stools suggest blood or medication effects, not bile absence, making this interpretation inconsistent with the patient’s soft, black stool description.
Choice B reason: Excessive fat in stools (steatorrhea) from malabsorption causes bulky, greasy, foul-smelling stools, typically pale or light-colored, not black. The patient’s black stools point to a different etiology, such as bleeding, making this an incorrect interpretation.
Choice C reason: Increased iron intake, such as from supplements, can cause black stools, but the patient denies medications. Dietary iron alone is unlikely to produce consistently black stools without supplementation, and stomach pain suggests a pathological cause, making this less likely.
Choice D reason: Soft, black stools (melena) typically indicate occult blood from gastrointestinal bleeding, often from the upper GI tract (e.g., stomach or duodenum). Stomach pain supports this, as bleeding from ulcers or gastritis can cause both symptoms, making this the correct interpretation.
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