Practice Question
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Babinski reflex, the nurse should take which of the following actions?
Answer Choices:
Correct Answer:
Tickle the outer edge of the sole of the newborn's foot moving up toward the toes.
Rationale:
👣 The Babinski reflex is elicited by stroking the lateral sole upward, causing the toes to fan—normal in infants.
👣 It helps assess neurologic development and disappears by age 1.
👣 Other reflexes include the Moro, stepping, and rooting, each with distinct triggers.
👣 An absent or diminished Babinski reflex may indicate neurological concern.
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This question is from RN ATI Maternal& Newborn Care~Mso Exam which contains 79 questions.
More Questions from This Exam
A nurse is providing newborn nutrition education to new parents. The nurse will include which of the following as a sign (cue) of feeding readiness?
Answer Choices:
A. The infant stretches their arms out and then back in toward their body.
B. The infant turns their head toward their parents voice.
C. The infant grasps the parent's finger when placed in the infant's palm.
D. The infant brings their hand to their mouth.
Which of the following statements accurately describes a characteristic of the newborn immune system?
Answer Choices:
A. Newborns are born with fully developed immune responses capable of independently fighting infections from birth.
B. Newborns have a mature gut microbiome that supports their immune system immediately after birth.
C. Newborns rely solely on their innate immune system without any contribution from maternal antibodies.
D. Newborns receive passive immunity through the placenta and colostrum, but their own immune system is not fully functional until several months of age.
A nursery nurse is admitting a neonate and is performing the neonatal assessment. The apical pulse is auscultated with a rate of 124 bpm, after one full minute of listening. What is the next appropriate action should the nurse take?
Answer Choices:
A. Ask another nurse to verify the heart rate as this is an abnormal finding.
B. Call the provider and request they come to the hospital immediately for this abnormal finding to further assess the neonate.
C. Prepare the newborn for transport to the NICU for further cardiac observation.
D. Document the expected finding.
A nurse is teaching a newborn's parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?
Answer Choices:
A. Wipe the cord daily with alcohol prep pads.
B. Keep the cord moist.
C. Fold the top of the diaper underneath the cord.
D. Apply petroleum jelly to the cord stump.
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
Answer Choices:
A. Placing your child on her back when sleeping will decrease the risk of SIDS.
B. SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.
C. SIDS rates have been rising over the last 10 years.
D. Sleep apnea is the main cause of SIDS.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4