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 D

Explanation

A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.

A. Palpate the client's uterus for tachysystole. B. Initiate internal FHR monitoring C. Assist the client to a left lateral position. D. increase the infusion rate of the maintenance IV fluid.

Correct Answer is C

Explanation

A. Assessing for tachysystole is important, but intervention is needed immediately to improve fetal oxygenation.
B. Internal monitoring may provide more accurate data, but it does not address the immediate fetal distress.
C. The first action should be to reposition the client to a left lateral position to improve uteroplacental blood flow and oxygenation to the fetus.
D. Increasing IV fluids can help with placental perfusion, but positioning is faster and more immediately effective.

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

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