ATI Capstone Class Exam Week 12 | Nurselytic

Questions 45

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ATI Capstone Class Exam Week 12 Questions

Extract:


Question 1 of 5

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?

Correct Answer: D

Rationale: The Moro reflex is a startle reflex observed in newborns.
To elicit this reflex, a sudden loud noise or movement is needed. Performing a sharp hand clap near the infant is the appropriate action to trigger the Moro reflex. This action mimics a sudden loud noise, causing the baby to extend the arms and legs, then bring them back in a hugging motion. Placing a finger at the base of the newborn's toes (
Choice
A) does not elicit the Moro reflex. Turning the newborn's head quickly to one side (
Choice
B) triggers the asymmetric tonic neck reflex, not the Moro reflex. Holding the newborn vertically allowing one foot to touch the table surface (
Choice
C) elicits the stepping reflex, not the Moro reflex.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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