A nurse is assessing a newborn who has Erb-Duchenne palsy. Which of the following findings should the nurse expect?

Absent Moro reflex in the affected extremity

Cleft palate

Positive Babinski reflex

Difficulty sucking and swallowing

Answer and Explanation

The Correct Answer is A

A. Erb-Duchenne palsy involves injury to the upper brachial plexus, resulting in weakness or paralysis of the affected arm and an absent Moro reflex on that side.
B. Cleft palate is unrelated to Erb-Duchenne palsy.
C. The Babinski reflex is a neurological test of the lower limbs and is not affected by this condition.
D. Difficulty sucking and swallowing is not typical of Erb-Duchenne palsy but may be related to other cranial nerve injuries.

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Correct Answer is C

Explanation

A. Effleurage is used during the first stage of labor to promote relaxation and decrease pain, not during the pushing stage, so using it while pushing is ineffective.

B. Counterpressure is most effective when applied to the lower back or sacral area during contractions, not the upper abdomen. Applying pressure to the upper abdomen would not relieve labor pain effectively.

C. Hydrotherapy involves immersing the laboring client in warm water to promote relaxation and reduce discomfort. Maintaining the water temperature between 36–37°C is safe for both mother and fetus while providing soothing pain relief.

D. A TENS unit is typically applied to the lower back during labor, not the lower abdomen, to reduce contraction-related pain. Applying it to the abdomen is not the standard practice and may not be effective.

A. Breast enlargement B. Skin mottling C. Nipple inversion D. Thinning hair

Correct Answer is A

Explanation

A. Breast enlargement is a common and expected change during pregnancy due to hormonal influences.
B. Skin mottling is not a typical pregnancy change.
C. Nipples usually become more prominent or everted, not inverted, during pregnancy.
D. Hair tends to become thicker and fuller during pregnancy, not thinner.

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A nurse is assessing a newborn who has Erb-Duchenne palsy. Which of the following findings should the nurse expect?

Nursing Test Bank

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