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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Asking about the last mammography focuses on screening, not the technique or frequency of self-examination. Inquiring about self-exam frequency ensures the patient performs it regularly, so this is incorrect for ensuring proper practice.

Choice B reason: Annual breast exams are clinical, but this question doesn’t confirm the patient patient performs self-exams. Asking about self-examination frequency directly addresses the practice, so this is not the best statement.

Choice C reason: Asking how often the patient performs breast self-examination confirms whether they do it regularly (e.g., monthly) and opens discussion on technique, ensuring correct practice. This is the best statement, so it’s correct.

Choice D reason: Physician visits are unrelated to self-performing self-examination at home. Frequency of breast self-exams is key to ensuring compliance, so this is incorrect for the nurse’s goal.

A. Document what the child’s physician tells the nurse B. Use the exact words the child has said to describe how the injury occurred C. Document mainly what the parent has said about how the injury occurred D. Focus only on photographs of the child’s injuries

Correct Answer is B

Explanation

Choice A reason: Documenting only the physician’s statements is incomplete, as it omits direct observations and the child’s account. In suspected abuse, the nurse must record objective findings and the child’s narrative to ensure accurate reporting, making this inadequate.

Choice B reason: Using the child’s exact words ensures an objective, unbiased record of their account, critical in suspected abuse cases. This preserves the integrity of the child’s description for legal and medical evaluation, making it the most appropriate documentation method.

Choice C reason: Relying primarily on the parent’s account risks bias, especially in suspected abuse, as it may not reflect the true cause. The child’s narrative and objective findings are prioritized to ensure accurate reporting, making this an unreliable choice.

Choice D reason: Focusing only on photographs omits critical narrative and clinical details, such as the child’s account or physical findings. Comprehensive documentation, including the child’s words and observations, is essential in abuse cases, making this incomplete and incorrect.

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An instructor asks a nursing student to test a newborn’s rooting reflex. Which technique would be correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which is the best statement by the nurse to ensure that a patient is performing breast self-examination correctly?

Correct Answer is C

Explanation

A nurse suspects abuse when a 6-year-old child is taken to the emergency center for a traumatic injury. How should the nurse document the assessment findings?

Correct Answer is B

Explanation

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