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Nursing Interventions
Nursing Interventions ( 3 Questions)
A nurse is assessing a newborn’s reflexes as part of a routine examination.
Which of the following reflexes should the nurse expect to disappear by 3 months of age?
Moro reflex is a protective response to a sudden movement or a loud noise, and it lasts until the baby is about 2 months old.
Palmar grasp reflex is a response to stroking the palm of the baby’s hand, causing the baby to close his or her fingers in a grasp, and it lasts until the baby is about 5 to 6 months old.
The rooting reflex is a survival instinct that helps the baby find and latch onto a nipple to feed.This reflex starts when the corner of the baby’s mouth is stroked or touched, and the baby turns his or her head and opens his or her mouth to follow and root in the direction of the stroking.This reflex lasts about 4 months.
Tonic neck reflex is a posture that occurs when the baby’s head is turned to one side, causing the arm on that side to stretch out and the opposite arm to bend up at the elbow, and it lasts until the baby is about 5 to 7 months old.
The rooting reflex is a survival instinct that helps the baby find and latch onto a nipple to feed. This reflex starts when the corner of the baby’s mouth is stroked or touched, and the baby turns his or her head and opens his or her mouth to follow and root in the direction of the stroking. This reflex lasts about 4 months.