The nurse assesses the newborn's reflexes. Which of the following responses would indicate a need for further testing?

A. A negative tonic neck reflex
B. A positive Moro's reflex
C. A negative Ortolani sign
D. A positive Babinski reflex


A
Absence or asymmetry of the tonic neck reflex may indicate a neurologic problem. Positive Moro's and Babinski reflexes are normal. Ortolani maneuver assesses hips.

Nursing

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The nursing instructor summarizes Imogene King's view of health as

a. a state of harmony with the environment. b. being able to function in social roles. c. stability within the human system. d. the absence of illness or disability.

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On admitting a client with acute osteomyelitis, the nurse is not surprised at the client's complaint of

a. generalized bone pain. b. localized pain and redness. c. nausea and vomiting. d. paresthesias in the affected extremity.

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Which problem is considered an acquired immunodeficiency that can be cured?

A. Severe combined immunodeficiency syndrome B. Selective immunoglobulin A deficiency C. Protein-calorie malnutrition D. HIV/AIDS

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A client is admitted to the healthcare facility with a head injury. There is indication that

the medulla may be involved. What respiratory function does the medulla control? A) Automatic control of the depth and rate of respiration B) Voluntary control over breathing when talking C) Physical control of the muscles of respiration D) Controls exchange of oxygen and carbon dioxide in the cell

Nursing