Author Question: The nurse is assessing neonatal reflexes. As the nurse moves the neonate's head slowly to the right ... (Read 53 times)

dbose · **on:** Jun 27, 2018

The nurse is assessing neonatal reflexes. As the nurse moves the neonate's head slowly to the right or left, the eyes move more slowly than the head and do not immediately adjust to the position of the head. This reflex is called:

a. cat's eye c. doll's eye
b. head lag reflex d. eye delay

Question 2

The nurse is assigned to care for a child who had a tonsillectomy yesterday. The child complains of a sore throat and wants something cool. Which of the following cool drinks or foods would be acceptable to offer the child?

a. chilled tomato juice c. lime sherbet
b. cold cola d. cherry-flavored gelatin

sierramartinez · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. As the nurse moves the neonate's head slowly to the right or left, the eyes move more slowly than the head and do not immediately adjust to the position of the head. This reflex is not called cat's eye.
B Incorrect. As the nurse moves the neonate's head slowly to the right or left, the eyes move more slowly than the head and do not immediately adjust to the position of the head. This reflex is not called head lag reflex.
C Correct. As the nurse moves the neonate's head slowly to the right or left, the eyes move more slowly than the head and do not immediately adjust to the position of the head. This reflex is called doll's eye.
D Incorrect. As the nurse moves the neonate's head slowly to the right or left, the eyes move more slowly than the head and do not immediately adjust to the position of the head. This reflex is not called eye delay.

Answer to Question 2

C

Feedback
A Incorrect. The nurse will not offer chilled tomato juice as it is acidic, will not be soothing.
B Incorrect. The nurse will not offer cold cola as it is a brown liquid and it will interfere with assessment of bleeding.
C Correct. Initially, cool noncarbonated, non-acidic liquids are encouraged. Red and brown liquids are avoided as they interfere with assessment of bleeding.
D Incorrect. The nurse will not offer cherry-flavored gelatin as it is red and it will interfere with assessment of bleeding.