Babinski's Reflex

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Question 1:

A nurse is assessing a 6-month-old baby’s reflexes.

Which of the following actions should the nurse perform to elicit the Babinski’s reflex?

Explanation

To elicit the Babinski’s reflex, the nurse should stroke the outer edge of the baby’s sole from heel to toe.The Babinski’s reflex is a normal response in infants and young children until they are about 6 months to 2 years old.It involves the big toe bending up and back and the other toes spreading out.The reflex can indicate a neurological problem in adults if it is present.


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Question 2:

A nurse is caring for a client who has a spinal cord injury at the level of T12.

The nurse observes an extensor response when stroking the client’s foot.

How should the nurse document this finding?

Explanation

an extensor response (big toe bending up and back and other toes spreading out) when stroking the foot is normal in infants and young children, but abnormal in adults and older children.It indicates a problem in the cortical spinal tract, which is responsible for motor control.


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