Deep tendon reflexes are normal if they are 1 + , 2 + , or 3 + unless they are asymmetric or there is a dramatic difference between the arms and the legs.
A river mouth or stream mouth is a part of a stream where it flows into another stream, river, lake, reservoir, sea, or ocean. At the mouth of a river a delta can form causing sediment pileup. A river can flow into a lake, sea or into an ocean. 1  Confluence. 2  River delta. 3  Estuary. 4  Liman.
River: a large stream of water flowing through the land into a lake, ocean, or other body of water. River Delta: a branching river extending into another body of water. River Island: an island in a river. Sea: a large body of water, usually salt water, partly or completely surrounded by land. Sound: a wide channel connecting two bodies of water or an inlet between the mainland and islands. Source (of a river): the place where a river or stream begins.