Chapter VI: Advanced
Health & Physical Health
Assessment | Study
Guide & Exam Review
|Guaranteed success|
,Is head lag normal according to the notes? Yes
How is flexion tested in a newborn? Place the newborn flat on their back on a safe, comfortable surface and
observe their limbs
What is normal flexion in a full-term newborn? The arms and legs are tucked tightly inward toward the chest and belly in a
flexed position due to muscle tone developed in the womb
How is the rooting reflex tested? Stroke the side of the baby's cheek or mouth corner
What is a normal rooting reflex response? The baby turns their head toward that side and opens their mouth
How is the grasping reflex tested? Put your finger into the baby's open palm
What is a normal grasping reflex response? The baby wraps their fingers tightly around your finger
How is the Moro reflex tested? Gently support the baby's head and let it drop back a fraction of an inch, or
mimic a sudden drop
What is a normal Moro reflex response? The baby stretches their arms out sideways with palms up, then pulls them back
in
How is the glabellar reflex tested according to the Lightly and repeatedly tap the smooth space between the baby's eyebrows
notes?
What is a normal glabellar reflex response? The baby blinks with the first few taps
How is the Babinski reflex tested? Firmly stroke the sole of the foot from the heel up toward the toes
What is a normal Babinski response in an infant? The big toe bends upward and the other toes fan out
Until what age is the Babinski reflex normal according Up to 2 years
to the notes?
What is cranial nerve I? Olfactory
What does cranial nerve I test? Sense of smell and patency of the nasal passages
How should cranial nerve I be tested? Have the client close their eyes and test each nostril separately while the other
is occluded, asking the client to identify familiar odors
, What is cranial nerve II? Optic
What does cranial nerve II test? Vision
How can vision be tested for cranial nerve II? Use a Snellen chart or other suitable chart depending on the client's acuity and
ability to cooperate
What instrument is used to examine the inner aspect of Ophthalmoscope
the eyes?
How is peripheral vision tested for cranial nerve II? Confrontation test
What is cranial nerve III? Oculomotor
What is cranial nerve III responsible for? It is the motor nerve to the five extrinsic eye muscles
With which cranial nerves is cranial nerve III tested? Cranial nerves IV and VI
What movements are tested with cranial nerve III? Extraocular movements (EOMs)
What pupil functions should be checked with cranial Equality of pupils, reaction to light, and ability to accommodate
nerve III?
What is the corneal light reflex? When a light is shined at the bridge of the nose, the light should appear
symmetrically in both eyes
What is cranial nerve IV? Trochlear
How is cranial nerve IV tested? Using the same process as cranial nerves III and VI
What is cranial nerve V? Trigeminal
How is the motor function of cranial nerve V tested? Palpate the masseter muscles with the fingertips while the client clenches their
teeth
What finding during trigeminal motor testing can Disparity in tension between the two masseter muscles, indicating paralysis on
indicate paralysis? the weak side
What abnormal movements should be observed during Tremor of the lips, involuntary chewing movements, and spasm of the
trigeminal motor testing? masticatory muscles
Health & Physical Health
Assessment | Study
Guide & Exam Review
|Guaranteed success|
,Is head lag normal according to the notes? Yes
How is flexion tested in a newborn? Place the newborn flat on their back on a safe, comfortable surface and
observe their limbs
What is normal flexion in a full-term newborn? The arms and legs are tucked tightly inward toward the chest and belly in a
flexed position due to muscle tone developed in the womb
How is the rooting reflex tested? Stroke the side of the baby's cheek or mouth corner
What is a normal rooting reflex response? The baby turns their head toward that side and opens their mouth
How is the grasping reflex tested? Put your finger into the baby's open palm
What is a normal grasping reflex response? The baby wraps their fingers tightly around your finger
How is the Moro reflex tested? Gently support the baby's head and let it drop back a fraction of an inch, or
mimic a sudden drop
What is a normal Moro reflex response? The baby stretches their arms out sideways with palms up, then pulls them back
in
How is the glabellar reflex tested according to the Lightly and repeatedly tap the smooth space between the baby's eyebrows
notes?
What is a normal glabellar reflex response? The baby blinks with the first few taps
How is the Babinski reflex tested? Firmly stroke the sole of the foot from the heel up toward the toes
What is a normal Babinski response in an infant? The big toe bends upward and the other toes fan out
Until what age is the Babinski reflex normal according Up to 2 years
to the notes?
What is cranial nerve I? Olfactory
What does cranial nerve I test? Sense of smell and patency of the nasal passages
How should cranial nerve I be tested? Have the client close their eyes and test each nostril separately while the other
is occluded, asking the client to identify familiar odors
, What is cranial nerve II? Optic
What does cranial nerve II test? Vision
How can vision be tested for cranial nerve II? Use a Snellen chart or other suitable chart depending on the client's acuity and
ability to cooperate
What instrument is used to examine the inner aspect of Ophthalmoscope
the eyes?
How is peripheral vision tested for cranial nerve II? Confrontation test
What is cranial nerve III? Oculomotor
What is cranial nerve III responsible for? It is the motor nerve to the five extrinsic eye muscles
With which cranial nerves is cranial nerve III tested? Cranial nerves IV and VI
What movements are tested with cranial nerve III? Extraocular movements (EOMs)
What pupil functions should be checked with cranial Equality of pupils, reaction to light, and ability to accommodate
nerve III?
What is the corneal light reflex? When a light is shined at the bridge of the nose, the light should appear
symmetrically in both eyes
What is cranial nerve IV? Trochlear
How is cranial nerve IV tested? Using the same process as cranial nerves III and VI
What is cranial nerve V? Trigeminal
How is the motor function of cranial nerve V tested? Palpate the masseter muscles with the fingertips while the client clenches their
teeth
What finding during trigeminal motor testing can Disparity in tension between the two masseter muscles, indicating paralysis on
indicate paralysis? the weak side
What abnormal movements should be observed during Tremor of the lips, involuntary chewing movements, and spasm of the
trigeminal motor testing? masticatory muscles
