Week One MIdterm 6541 Pediatrics Exam Review And All Complete Solutions.
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Course
NUR 6541
Institution
NUR 6541
reflexes of the newborn - Answer most are protective; if any of these return there is severe neurological insult, very primitive used for protection of infant
Anal Wink - Answer S2-S4 gentle stroke and look for contraction of the perianal muscle. Absence indicates and is suggestive of a le...
Week One MIdterm 6541 Pediatrics Exam
Review And All Complete Solutions.
reflexes of the newborn - Answer most are protective; if any of these return there is severe
neurological insult, very primitive used for protection of infant
Anal Wink - Answer S2-S4 gentle stroke and look for contraction of the perianal muscle. Absence
indicates and is suggestive of a lesion on the spinal cord.
Plantar Reflex (Babinski) - Answer L4 to S4
reflexes-tongue blade/pen
stroke heel of foot
abnormal- toes fan out
normal- toes curl -usually disappears by 6-8 months
Palmar Reflex/Grasping Reflex - Answer closes his hand around your fingers. Pulling away causes grip to
tighten. Usually disappears by 3-4 month
Testing CN1 -Olfactory - Answer will not be assessed until infact is around 5-7 months bc it is not
developed.
Testing CN2-Vision - Answer Blink reflex
Testing CN III, CN lV and CN VI - Answer assessing the ability to track through the visual fields
Testing CN5 and CN7 - Answer facial grimaces
Testing CN8 - Answer finger snap
, A strong moro reflex in 6 mos and older (should disappear by 3-4 months) - Answer indicates brain
damage (spinal cord/brain lesion)
One sided moro reflex - Answer r/o brachial plexus injury, fracture of shoulder dystocia
Rooting - Answer stroking the corner of his mouth causes baby to turn toward stimulus; appears at
birth, goes away by 3-4 mos. If does not occur-sleepy, CNS depression; depressed infant-
stepping reflex - Answer basis for complex motor skills, with bare feet touching floor infant will mimic a
stepping response (disappears around 2 months); tests brainstem absence paralysis or depressed baby
crossed extensor reflex - Answer flexion of one limb followed by extension of opposite limb; 0-4
months
Landua reflex - Answer 3 to 15 to 2 years; prone lift both head and legs
Neck righting reflex - Answer Present 4 mo-24 mo. Hold the infant in a vertical position, then tilt to one
side. Infant should attempt to maintain their line of vision parallel to the ground.; absence or decreased
can indicate spasticity; test midbrain.
Parachute reflex - Answer appears by 7 to 9 months; a protective arm extension that occurs when an
infant is suddenly thrust downward when prone
Plantar flexion - Answer bending of the sole of the foot by curling the toes toward the ground; Test S1-
S2 suspect any asymmetry.
failure to thrive - Answer a condition in which infants become malnourished and fail to grow or gain
weight and defined as weight for age that falls below third to fifth percentile for gestation-corrected age.
Also infants who rate of weight change decreases over two or more major percentile lines (90, 75th,
50th, 25th, &5th Use WHO growth charts until the age of 2 then CDC's
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