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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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