The nurse is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?
A) When the cheek of the baby is touched, the newborn turns toward the side that is touched.
B) When the lateral aspect of the sole of the baby's foot is stroked, the toes extend and fan outward.
C) When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex.
D) When the newborn is supine and the head is turned to one side, the arm on that same side extends.
Question 2
A pregnant patient at 35 weeks gestation gives birth to a healthy baby boy. What factors regarding the development of the normal respiratory system should the nurse consider when performing an assessment of the neonate?
A) As the fetus approaches term, there is an increase in the secretion of intrapulmonary fluid.
B) Lung expansion after birth suppresses the release of surfactant.
C) Surfactant causes an increased surface tension within the alveoli, which allows for alveolar reexpansion following each exhalation.
D) Under normal circumstances, by the 34th to 36th weeks of gestation, surfactant is produced in sufficient amounts to maintain alveolar stability.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Deep tendon reflex.
Babinski Reflex Test
Responses to Sound Waves
Polysynaptic Inhibitory Reflex
Nurse administering enteral nutrition through a feeding tube.