Which of the following is an example of a primitive reflex that is present in newborns and typically disappears by 3-4 months of age?

Palmer grasp rettex

Babinski

Rooting reflex:

Moro reflex

Answer and Explanation

The Correct Answer is D

A) Palmer grasp reflex:
The palmer grasp reflex is a primitive reflex in which a newborn will grasp an object placed in their hand. While this reflex is present at birth, it typically disappears by 5-6 months of age, not by 3-4 months. The Moro reflex, which is more related to startle and sudden movements, is the correct answer in this case.

B) Babinski reflex:
The Babinski reflex, in which the toes fan out when the sole of the foot is stroked, is present at birth but typically disappears by 12 months. This reflex is an indicator of neurological development, and its presence beyond the first year could suggest neurological concerns, but it is not the reflex in question here.

C) Rooting reflex:
The rooting reflex occurs when the newborn turns their head and opens their mouth in response to cheek stimulation, typically to find the nipple for breastfeeding. This reflex is present at birth and usually disappears by 3-4 months, which is similar to the timing mentioned in the question.

D) Moro reflex:
The Moro reflex is a startle reflex in which the infant spreads their arms and then pulls them back in when they feel a sudden loss of support or a loud noise. This reflex is present at birth and typically disappears by 3-4 months of age. It is considered a classic primitive reflex that fades as the infant's nervous system matures.

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Correct Answer is D

Explanation

A) Offering opioids followed by topical treatment:
While opioids can be effective for pain, they are typically reserved for more severe pain and are not the first line of treatment for the moderate pain commonly experienced postpartum, especially after a first-degree laceration. A stepwise approach emphasizes starting with less potent options and progressing as needed, so offering opioids first is not appropriate here.

B) Offering mindfulness only for pain:
While mindfulness and other non-pharmacological techniques can be helpful for pain management, offering only mindfulness as the sole approach may not adequately address the client's pain, especially in the early postpartum period. A stepwise approach typically involves combining pharmacological and non-pharmacological methods to achieve effective pain relief, so relying only on mindfulness is not the most effective strategy for this situation.

C) Giving the highest dose of opioids to make sure to eliminate the pain:
Stepwise pain management involves starting with the least invasive and least potent option, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, and escalating treatment if necessary. Using high doses of opioids first can lead to unnecessary side effects and risks, especially when less potent options would suffice.

D) Starting with ibuprofen for pain management and adding cold therapy for additional relief:
This is an example of a stepwise approach to pain management. Starting with ibuprofen, an NSAID, addresses inflammation and mild to moderate pain effectively, which is appropriate for a first-degree laceration. Cold therapy can be added for additional relief, as it helps reduce swelling and numb the area, which can further reduce discomfort. This combination of pharmacological and non-pharmacological treatments follows the principle of starting with less potent options and adding more if needed, making it the best choice.

A. June 10 B. June 24 C. June 20 D. June 14

Correct Answer is B

Explanation

Naegele's Rule is a method used to estimate the due date of a pregnancy. It involves the following steps:

Start with the first day of the client's last menstrual period (LMP).
Add one year.
Subtract three months.
Add seven days.

Using the client's LMP of September 17:

Start with September 17.
Add one year: September 17, the following year.
Subtract three months: June 17 of the following year.
Add seven days: June 24.

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Which of the following is an example of a primitive reflex that is present in newborns and typically disappears by 3-4 months of age?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a client who is 6 hour postpartum following a vaginal birth with first -degree laceration. Which of the following, actions is an example of the nurse providing a stepwise approach to manage the client's pain?

Correct Answer is D

Explanation

A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of birth using Naegele's Rule?

Correct Answer is B

Explanation

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