The nurse is assessing an infant's extrusion reflex. To perform ...

[kamilo84]

The nurse is assessing an infant's extrusion reflex. To perform this correctly, what steps does the nurse take?
 
  A.
  Place a small object in the infant's hand.
  B.
  Stroke the side of the infant's cheek.
  C.
  Touch the tip of the infant's tongue.
  D.
  Turn the infant's head to one side.

Question 2

A nurse is discharging parents and their new infant. When assisting the family to place the infant in a car seat, which observation leads the nurse to reinforce teaching?
 
  A.
  The baby is wearing a sack-type sleeper.
  B.
  The baby is wearing a single layer of clothes.
  C.
  The parent checks the temperature of the car seat.
  D.
  A rear-facing car seat is in the back seat.

[b614102004]

Answer to Question 1

ANS: C
The extrusion reflex is elicited by touching the tip of the infant's tongue. The tongue should protrude outward. Palmar grasp is detected by placing a small object in the infant's hand. Stroking the side of the cheek should result in the rooting reflex. Turning the head and watching the position of the extremities is part of the tonic neck or fencing reflex.

Answer to Question 2

ANS: A
Sack-type sleepers are not recommended for wearing in a child safety seat because the straps may not fit properly. The other observations are appropriate.