A newborn client has a positive Babinski's reflex upon admission to the nursery. Which of these actions should the nurse take?
a. No action should be taken, because it is considered a normal reflex until the child is about 12 to 18 months of age.
b. Inform the health care provider because it indicates a problem with the central nervous system.
c. Request an order for a blood glucose because it indicates hypoglycemia in the newborn.
d. Watch the newborn carefully because it indicates the possibility of a seizure disorder.
A
A positive Babinski's reflex is considered a normal reflex until the child is about 12 to 18 months of age. After the child has mastered walking, it is abnormal.
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