The nurse attempts to elicit the Moro reflex on a newborn, and assesses movement of the right arm only. Based on this finding, the nurse immediately assesses:

Question

Quizplus · Accepted Answer

The Moro reflex involves a startle response with extension of both arms followed by a cry and then flexion of both arms. If only one arm moves or there is no movement, this may indicate injury or weakness of that arm, which could be related to a clavicle fracture. Therefore, the nurse should assess the clavicle.

The Nurse Attempts to Elicit the Moro Reflex on a Newborn