The Nurse Is Monitoring a Patient Who Is 4 Years

question 9

Multiple Choice

The nurse is monitoring a patient who is 4 years of age who fell down a flight of steps. A Babinski response was not present during the initial assessment. The RN asks the nurse to recheck for a Babinski reflex and report abnormal responses. Which response will the nurse report to the RN?

• A)The great toe extends and the other toes fan out.
• B)All the toes curl toward the sole of the foot.
• C)The great toe flexes when sole is stroked.
• D)The foot is jerked away when the sole is stroked.

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Definitions:

Opponent Process

A theory in psychology and vision science that suggests the human visual system interprets color in an opposing way, involving three pairs of colors.

Sensitization

An increase in the strength of a response with repeated presentations of a stimulus.

Habituation

The method through which a living being reduces or stops its reactions to a constant stimulus over a period.

Behavioral Contrast

The change in the intensity or rate of a specific behavior when the reward conditions for another behavior are modified, demonstrating how reinforcement can influence behavioral patterns divergently.