The nurse is aware that the tonic neck reflex has several postural clues, which are: (Select all that apply.)
a. Head turned to one side
b. Arm and leg extended on one side and flexed on the other
c. Prancing movements of the legs when held upright
d. Extending the flexion of extremities when startled
e. Turning the head in the direction of anything that touches the cheek
A, B
The tonic neck reflex is one in which the baby has the head turned to one side with the extremities on that side extended and the opposite extremities flexed. Other options refer to the dancing, Moro, and rooting reflex.
You might also like to view...
The nurse recognizes that the initial clinical and laboratory assessment findings for bloodborne osteomyelitis present as manifestations of:
A) Osteoporosis B) Sepsis C) Paget's disease D) Anemia
The nurse, when administering care, will need to be aware of which primary consideration as a major healthcare concern when delivering care to a client?
A) Lack of modern healthcare facilities B) Lack of funding sources C) Inadequate number of healthcare providers D) Lack of general health education
A patient is brought to the emergency department after ingesting a handful of diphenhydramine (Benadryl) tablets. The patient has dilated pupils, a flushed face, and tremors
The patient is agitated and has a heart rate of 110 beats per minute. The nurse may anticipate administering which agents? (Select all that apply.) a. Activated charcoal b. Cathartics c. Diazepam d. Phenytoin e. Second-generation H1 antagonists
In which position is the patient placed before the insertion of a suppository?
A. prone B. supine C. left lateral D. right lateral