Summary
Summary ( 15 Questions)
A nurse is performing a neurological assessment on a 4-month-old infant.
The nurse gently drops the infant’s head backward while supporting the body.
The nurse expects to see which of the following responses as part of a normal reflex?
it describes the tonic neck reflex, also called the fencing reflex, which occurs when a baby’s head is turned to one side, causing the arm on that side to stretch out and the opposite arm to bend at the elbow. This reflex lasts until the baby is about 5 to 7 months old.
This is part of the Moro reflex, also called the startle reflex, which is normally present in infants up to about 4 to 6 months old. The reflex is triggered by a loud sound, a sudden movement, or a change in temperature, and causes the baby to throw back his or her head, extend his or her arms and legs, and then pull them back in.
This is part of the Moro reflex, also called the startle reflex, which is normally present in infants up to about 4 to 6 months old. The reflex is triggered by a loud sound, a sudden movement, or a change in temperature, and causes the baby to throw back his or her head, extend his or her arms and legs, and then pull them back in.