MATERNITY NURSING: AND NEWBORN NURSING TEST BANK PART 3
A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following? o A. Talipes equinovarus o B. Fractured clavicle o C. Congenital hypothyroidism o D. Increased intracranial pressure Correct Correct Answer: B. Fractured clavicle A fractured clavicle would prevent the normal Moro response of symmetrical sequential extension and abduction of the arms followed by flexion and adduction. • Option A: In talipes equinovarus (clubfoot) the foot is turned medially, and in plantar flexion, with the heel elevated. The feet are not involved with the Moro reflex. • Option C: Hypothyroidism has no effect on the primitive reflexes. Hypothyroidism means that the thyroid gland can’t make enough thyroid hormones to keep the body running normally. • Option D: The absence of the Moro reflex is the most significant single indicator of central nervous system status, but it is not a sign of increased intracranial pressure
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