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USMLE
Nursing Care of the Newborn
An infant is born in the breech position and assessment of the newborn indicates the presence of Erb palsy (ErbDuchenne paralysis). What clinical manifestation supports this conclusion?
Explanation
ExplanationD. With Erb-Duchenne paralysis there is damage to spinal nerves C5 and C6, which causes paralysis of the arm. A. The grasp reflex is intact because the fingers usually are not affected; if C8 is injured, paralysis of the hand results (Klumpke paralysis). B. There would be a negative Moro reflex only on the affected side. C. There is no interference with turning of the head; usually injury results from excessive lateral flexion of the head as the shoulder is born.
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