The pediatric nurse is examining a newborn infant and notes a turning in of the foot and turning out of the toes when the sole of the foot is stroked. Which action by the nurse is most appropriate?
A.
Arrange a consultation with a developmental specialist.
B.
Assess the parents' family histories for genetic defects.
C.
Document the findings in the patient's chart.
D.
Instruct the parents on required follow-up care.
ANS: C
The newborn is exhibiting the Babinski reflex, one of the normal primitive reflexes that should disappear by 9 months of age. Documentation is all that is required.
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