75. A client, who is gravida 2, para 1, is admitted at 34 weeks' gestation with severe preeclampsia. A nurse is assessing the client's deep tendon reflexes. Which method should the nurse use to elicit the biceps reflex?
75. A client, who is gravida 2, para 1, is admitted at 34 weeks' gestation with severe preeclampsia. A nurse is assessing the client's deep tendon reflexes. Which method should the nurse use to elicit the biceps reflex?
. Placing the thumb on the tendon in the antecubital space and tapping the thumb briskly with the reflex hammer.
. Suspending the client's arm at the elbow, using an open hand, while tapping the back of the client's elbow.
. Instructing the client to dangle her legs as the nurse strikes the tendon below the patella with the blunt side of the reflex hammer.
. Instructing the client to place her arms loosely at her side as the nurse strikes the tendon just above the wrist.
Test-Taking Tip
Picturing the method and what part of the body is being described will help eliminate the wrong answers.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Techniques of Physical Assessment
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Answer 1 is correct because this is the correct method to elicit the biceps reflex. Answer 2 is incorrect because this describes eliciting the triceps reflex. Answer 3 is incorrect because this describes eliciting the knee reflex. Answer 4 is incorrect because this describes eliciting the wrist reflex.