When the nurse assesses the client's abdominal superficial reflexes, the umbilicus moves in the direction of the skin stimulated. The nurse documents this observation as:
1. A positive (+) response.
2. A negative (-) response.
3. An absence of response.
4. A questionable response.
A positive (+) response.
Rationale: When evaluating superficial reflexes, they are scored as being either present (+) or absent (-). Observing the umbilicus moving in the direction of the skin being stimulated is a (+) response.
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