The nurse is assessing the neuromusculoskeletal system of a newborn. What is an abnormal assessment finding?
A) Sluggish deep tendon reflexes
B) Full range of motion in extremities
C) Absence of hypotonia
D) Lack of purposeful muscular control
Ans: A
Deep tendon reflexes are present at birth and are initially brisk in the newborn and progress to average over the first few months. Sluggish deep tendon reflexes indicate an abnormality. The newborn is capable of spontaneous movement but lacks purposeful control. Full range of motion is present at birth. Healthy infants and children demonstrate normal muscle tone; hypertonia or hypotonia is an abnormal finding.
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