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Multiple Choice
In the context of a newborn with Erb's palsy exhibiting an asymmetric Moro reflex, which cause would the nurse most likely suspect?
A
Spinal cord malformation
B
Injury to the brachial plexus during birth
C
Congenital heart defect
D
Underdeveloped lungs
Verified step by step guidance
1
Understand the context: Erb's palsy is a condition often caused by an injury to the brachial plexus, which is a network of nerves near the neck that controls the muscles of the shoulder, arm, and hand.
Recognize the symptoms: An asymmetric Moro reflex in a newborn can indicate a problem with the nerves or muscles on one side of the body, often associated with brachial plexus injury.
Consider the causes: During birth, especially in difficult deliveries, the brachial plexus can be stretched or torn, leading to Erb's palsy.
Eliminate other options: Spinal cord malformation, congenital heart defect, and underdeveloped lungs are not typically associated with an asymmetric Moro reflex or Erb's palsy.
Conclude the most likely cause: Given the symptoms and context, the nurse would most likely suspect an injury to the brachial plexus during birth as the cause of the asymmetric Moro reflex in a newborn with Erb's palsy.