Asked by Shuyue Cheng on May 09, 2024

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When the nurse strokes the sole of a two-year-old client's foot,the big toe rises and the other toes fan out.How should this be interpreted by the nurse?

A) Plantar reflex,which is abnormal for this age
B) Stepping reflex,which is normal for this age
C) Babinski reflex,which is abnormal for this age
D) Moro reflex,which is normal for this age

Babinski Reflex

A reflex action of the toes, especially in infants, where the big toe moves upward and the other toes fan out in response to the sole being stroked, indicative of neurological function.

Plantar Reflex

A reflex elicited when the sole of the foot is stimulated, leading to toe flexion or extension, indicative of neurological function.

Moro Reflex

An involuntary response seen in newborns, where they suddenly extend their arms and legs and then curl them in if they feel like they are falling.

  • Distinguish between standard and abnormal developmental activities and physiological responses in pediatric populations.
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KM
Kaitlyn MidgleyMay 13, 2024
Final Answer :
C
Explanation :
The response described is the Babinski reflex, which is normal in infants but should disappear by around 12 months of age. Its presence in a two-year-old is abnormal and may indicate neurological problems.