Summary
Summary ( 15 Questions)
A nurse is caring for a 2-month-old infant who has a positive Moro reflex.
Which of the following actions should the nurse take to elicit this reflex? (Select all that apply.)
clapping hands loudly near the infant’s head will elicit the startle reflex, not the Moro reflex. The startle reflex is similar to the Moro reflex, but it decreases with repeated stimulation, while the Moro reflex does not
To elicit the Moro reflex, the nurse should hold the infant in a semi-sitting position and let the head drop back slightly. This will simulate the sensation of falling and trigger the reflex, which involves spreading out the arms, pulling them in, and crying
stroking the edge of the infant’s mouth with a finger will elicit the rooting reflex, not the Moro reflex. The rooting reflex is when the infant turns their head and opens their mouth in response to touch near their mouth
To elicit the Moro reflex, the nurse should hold the infant in a semi-sitting position and let the head drop back slightly. This will simulate the sensation of falling and trigger the reflex, which involves spreading out the arms, pulling them in, and crying