A nurse reads in the chart that a baby has a positive crossed extension reflex and asks a more experienced nurse to demonstrate this assessment. How does the nurse perform the assessment?
A.
Place the infant supine, stimulate one foot, and watch for reaction of the other leg.
B.
Tap the infant's forehead gently, and assess for blinking for the first few taps.
C.
Watch the infant attempt to crawl when he is placed on his abdomen.
D.
With the infant prone, stroke one side of the spine; watch the buttocks curve toward the stimulation.
ANS: A
A positive crossed extension reflex occurs when the infant is supine and one foot is stimulated. The infant should flex, adduct, and then extend the opposite leg. Tapping the forehead is part of the glabellar reflex assessment. The crawling reflex is present when the infant attempts to crawl while prone. The Galant reflex (or trunk incurvation reflex) is assessed with the infant in a prone position. Stroke one side of the vertebral column and watch the baby's buttocks curve toward the side where the stimulation occurred.
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