Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?
Step
Plantar grasp
Neck righting
Babinski
The Correct Answer is A
A. The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B. The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C. Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D. The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In the case of a fever, the body's response often includes an increase in heart rate to help distribute heat and manage the fever.
B. While the body might attempt to regulate temperature through various means, the increased heart rate is primarily due to the fever itself.
C. A heart rate of 190/min is higher than normal for a 2-month-old infant and is likely elevated due to the fever.
D. Heart rate tends to decrease during sleep but doesn't explain the elevated heart rate specifically in response to the fever.
Correct Answer is A
Explanation
A. Understanding the family environment and potential stressors at home is essential to grasp the underlying reasons for the child's behavior.
B. Having the child return the property in front of the class might be a consequence but doesn't address the root cause or prevent future occurrences.
C. Reminding the child daily that stealing is wrong could be part of a solution but might not address the root cause or provide alternative coping strategies.
D. Discussing ways for the child to save face might be helpful but should not be the primary focus when addressing stealing behavior.
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