ATI Nur235 Pediatrics Final Exam | Nurselytic

Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

8-month-old undergoing primitive reflex assessment.


Question 1 of 5

During a routine assessment of an 8-month-old, the nurse is assessing primitive reflexes. Which finding should the nurse expect for an infant of this age?

Correct Answer: B

Rationale: The correct answer is B. At 8 months old, the infant should exhibit the Babinski reflex when the outer edge of the sole of the foot is stroked, causing the toes to fan upward and out. This reflex is normal in infants and typically disappears by around 2 years of age.


Choice A is incorrect because the described response to a loud noise is indicative of the Moro reflex, which is typically present in newborns and diminishes around 4-6 months of age.


Choice C describes the asymmetric tonic neck reflex (ATNR), which is typically seen in infants around 4-6 months of age, not at 8 months old.


Choice D describes the rooting reflex, where the infant turns their head in the direction of a stimulus on the cheek. This reflex is present from birth and diminishes around 4 months of age.

In summary, choices A, C, and D describe reflexes that are typically present in younger infants and would not be expected in an

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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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