Summary
Summary ( 15 Questions)
A nurse is performing a routine assessment on a newborn.
The nurse strokes the cheek of the newborn and notes that the newborn turns toward that side and opens his mouth.
The nurse documents this finding as which of the following?
Moro reflex is a startle reflex that occurs when a baby is startled by a loud sound or movement. 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.
This reflex starts when the corner of the baby’s mouth is stroked or touched.
The baby will turn his or her head and open his or her mouth to follow and root in the direction of the stroking. This helps the baby find the breast or bottle to start feeding. This reflex lasts about 4 months.
sucking reflex is a survival instinct that occurs when the roof of the baby’s mouth is touched. The baby will start to suck. This reflex doesn’t start until about the 32nd week of pregnancy and is not fully developed until about 36 weeks.
tonic neck reflex occurs when a baby’s head is turned to one side.
The arm on that side stretches out and the opposite arm bends up at the elbow. This is often called the fencing position. This reflex lasts until the baby is about 5 to 7 months old.
This reflex starts when the corner of the baby’s mouth is stroked or touched.
The baby will turn his or her head and open his or her mouth to follow and root in the direction of the stroking. This helps the baby find the breast or bottle to start feeding. This reflex lasts about 4 months.