Neurologic Exam

Question 1

For most neurologic maneuvers in term infants, which should be more prominent: Flexion or Extension?

Answer 1

For all maneuvers, flexion should always exceed extension.

Question 2

Describe the Moro reflex.

Answer 2

Baby in supine position with the hands abducted, and gently pull them until the shoulders are lifted a few inches off the bed; the infant’s hands are then released.

Normal - baby to rapidly abduct and extend its arms, followed by complete oepning of the hands

Appears at 28-32 weeks and disappears completely by 3-4 months of age.

Question 3

Describe the grasp reflex.

Answer 3

Examiner’s fingers are inserted into the baby’s hands to evaluate flexion of the fingers around the examiner’s finger. The baby is then lifted while holding the examiner’s finger with a palmar grasp.

Question 4

What standard tendon reflexes does a newborn exhibit?

Answer 4

Biceps, knee, and ankle reflexes

Question 5

Is ankle clonus abnormal in a newborn?

Answer 5

No, it is normal for some ankle clonus.