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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Naegele's rule calculation:
First day of last menstrual period (LMP): July 21
Add 1 year: July 21, next year
Subtract 3 months: April 21
Add 7 days: April 28
Answer; April 28th.
Correct Answer is C
Explanation
A. The vacuum cup is positioned on the fetal head, over the flexion point, not in front of the ears.
B. Continuous fetal monitoring should be maintained during vacuum-assisted delivery.
C. The nurse should encourage the client to push during contractions to assist with the delivery.
D. A full bladder can obstruct delivery; the bladder should be emptied prior to the procedure.
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