The nurse practitioner is performing a neurological assessment on an infant and places a finger in the infant's hand. The infant flexes all fingers to grasp the practitioner's finger. This maneuver assesses the:
plantar grasp reflex.
palmar grasp reflex.
Landau reflex.
Galant reflex.
The Correct Answer is B
Rationale:
A. The plantar grasp reflex is elicited by stroking the sole of the infant’s foot, causing the toes to curl, not the fingers.
B. The palmar grasp reflex is tested by placing a finger in the infant’s palm, resulting in flexion of all fingers to grasp it. This reflex is present at birth and typically disappears by 5–6 months of age.
C. The Landau reflex involves the infant lifting the head and arching the back when held prone, unrelated to grasping.
D. The Galant reflex is elicited by stroking the lateral trunk, causing the infant to laterally flex toward the stimulus; it does not involve hand grasping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Limiting fats is inappropriate for children with cystic fibrosis (CF) because they require a high-calorie, high-fat diet to maintain growth due to malabsorption.
B. Increasing calories by 50% is appropriate, but limiting salt is not recommended; children with CF often require extra salt due to excessive losses in sweat.
C. While vitamins are important, CF patients require fat-soluble vitamins (A, D, E, K) rather than B complex and C specifically.
D. Adding pancreatic enzymes four to five times a day is essential for children with CF who have pancreatic insufficiency. These enzymes aid in digestion and absorption of nutrients, improving growth and nutritional status.
Correct Answer is D
Explanation
Rationale:
A. Inhaled bronchodilators have limited efficacy in mild bronchiolitis and are not routinely recommended for initial treatment.
B. Over-the-counter antihistamines are not effective for bronchiolitis in infants.
C. Cough suppressants are not recommended in infants due to potential side effects and lack of proven benefit.
D. Supportive care is the mainstay of treatment for mild bronchiolitis, including ensuring adequate hydration, monitoring oxygenation, and providing comfort measures. Most cases are self-limited and resolve without pharmacologic intervention.
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