The Nurse Is Conducting a Neurologic Health Assessment

The nurse is conducting a neurologic health assessment. Which of the following is an abnormal finding?

A) The nurse offers a finger on the ulnar side of the hand and observes a tight grasp of the newborn's fingers as the nurse gently lifts the infant.
B) The nurse makes a loud noise and the infant extends the arms and legs, fans out the fingers, and brings in both arms and legs.
C) The nurse strokes a finger on the upper edge of the sole of the infant's foot across the ball of the infant's foot and observes fanning of the toes.
D) The nurse brushes the infant's cheek on the left side near the mouth and notices the infant turns the head away and closes the mouth tightly.