The nurse is assessing a child who is 3 years old. The Babinski Reflex is assessed and noted to be present. The nurse knows that:
1. This is a normal response to the test.
2. This is an abnormal response to the test and should be further assessed.
3. The reflex is abnormal, but the child will eventually grow out of it.
4. This is normal and should be repeated on both feet.
2
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1. This reflex should not be present in a child of this age.
2. This reflex should not be present after 2 years of life. It presents the need for an in-depth neurological exam.
3. Demonstration of this reflex at this age needs to be further assessed by a care provider.
4. This reflex should not be present at this age. If it is present in one foot, it will be present in the other.
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