CCRN Critical Care Nursing

Category - Neonatal

Nurse Andie is assessing the reflexes of a newborn infant. In eliciting the Moro reflex, the nurse would execute which of the following?
  1. Stimulate the perioral cavity of the newborn infant with a finger
  2. Clap the hand or slap on the newborn infant’s mattress
  3. Stimulate the pads of the newborn infant’s hand by firm pressure
  4. Stimulate the newborn infant’s ball of the foot by firm pressure
Explanation
Answer: B- The Moro reflex is elicited by a loud noise such as hand clap or a slap on the mattress to startle the newborn infant. Symmetric extension and abduction of the arms are seen; fingers fan out and form a C with the thumb and forefinger; slight tremor may be noted; the arms are adducted in an embracing motion and then return to are relaxed flexion and movement.
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