Nursing Interventions
Nursing Interventions ( 3 Questions)
A nurse is observing a newborn for signs of neonatal neck righting reflex.
The nurse gently turns the newborn’s head to one side and observes the response.
What should the nurse expect to see if the reflex is present?
the neonatal neck righting reflex is triggered by stretching of the neck muscles when there is rotation of the head or movement of the cervical/neck spine. This reflex is present at birth in a normal full term baby and strongest at about three months of age.
it describes the tonic neck reflex, which is often called the “fencing” reflex because of the position of the hands. This reflex lasts until the baby is about 5 to 7 months old.
it describes the Moro reflex, which is often called a startle reflex.
It usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out his or her arms and legs, cries, then pulls the arms and legs back in. This reflex lasts until the baby is about 2 months old.
it does not describe any known newborn reflex.
the neonatal neck righting reflex is triggered by stretching of the neck muscles when there is rotation of the head or movement of the cervical/neck spine. This reflex is present at birth in a normal full term baby and strongest at about three months of age.