Summary
Summary ( 15 Questions)
A nurse is assessing a newborn’s reflexes as part of a neurologic examination.
The nurse strokes the outer edge of the sole of the newborn’s foot from heel to toe and observes that the newborn’s toes fan upward and out.
The nurse documents this as a positive response for which of the following reflexes?
This is a normal reflex in newborns that disappears by 12 to 18 months of age.
It indicates that the nervous system is developing properly.
The Babinski reflex is elicited by stroking the outer edge of the sole of the foot from heel to toe and observing the movement of the toes.
the plantar grasp reflex is elicited by applying pressure to the sole of the foot near the base of the toes and observing the curling of the toes.
This reflex also disappears by 12 to 18 months of age.
the tonic neck reflex is elicited by turning the newborn’s head to one side and observing the extension of the arm and leg on that side and the flexion of the arm and leg on the opposite side.
This reflex disappears by 4 to 6 months of age.
the startle reflex is elicited by making a loud noise or tapping the newborn’s chest and observing the abduction and extension of the arms and legs, followed by flexion and crying.
This reflex disappears by 4 to 6 months of age.
This is a normal reflex in newborns that disappears by 12 to 18 months of age.
It indicates that the nervous system is developing properly.
The Babinski reflex is elicited by stroking the outer edge of the sole of the foot from heel to toe and observing the movement of the toes.