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 B

Explanation

A. A grade 2 placental abruption typically presents with a firm or rigid abdomen due to concealed bleeding, not a soft one.
B. Maternal tachycardia (heart rate 120/min) is expected due to blood loss and compensatory response to hypovolemia.
C. A fetal heart rate of 150/min with moderate variability is a reassuring sign and would not typically be expected in a significant abruption, where fetal distress is more common.
D. Vaginal bleeding from placental abruption is typically painful, and may be concealed. Painless bleeding is more characteristic of placenta previa.

A. Transvaginal fetal Doppler probe B. External ultrasound transducer monitor C. DeLee Hillis fetoscope D. Internal fetal scalp electrode

Correct Answer is B

Explanation

A. A transvaginal fetal Doppler is not commonly used for continuous monitoring and is typically reserved for early pregnancy.
B. An external ultrasound transducer is appropriate for continuous fetal monitoring when the membranes are intact. It is noninvasive and safe for use during labor.
C. A DeLee Hillis fetoscope is used for intermittent auscultation, not continuous monitoring.
D. An internal fetal scalp electrode requires ruptured membranes and cervical dilation; it is contraindicated with intact membranes.

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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

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 35 weeks of gestation and has moderate abruptio placenta. Which of the following actions should the nurse take?

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