A newborn has been diagnosed with brachial nerve paralysis. The ...

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A newborn has been diagnosed with brachial nerve paralysis. The nurse should assist the breastfeeding mother to use which hold or position during feeding?
 
  a. Reclining
  b. The cradle hold
  c. The football hold
  d. The cross-over hold

Question 2

The parents of an infant with a cleft palate ask the nurse, What follow-up care will our infant need after the repair? Which is an accurate response by the nurse?
 
  a. Your infant will not need any subsequent follow-up care.
  b. Your infant will only need to be evaluated by an audiologist.
  c. Your infant will only need follow-up with a speech pathologist.
  d. Your infant will need follow-up with audiologists and orthodontists.

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Answer to Question 1

ANS: C
In brachial nerve paralysis, the affected arm is gently immobilized on the upper abdomen. Tucking the newborn under the arm (football hold) puts less pressure on the newborn's affected extremity. The other positions place the newborn's body next to the mother's and can cause pressure on the affected arm.

Answer to Question 2

ANS: D
A cleft palate means that audiologists will evaluate the child's hearing throughout early childhood and work closely with otolaryngologists to determine if pressure-equalizing (PE) tubes are needed. An infant with a cleft palate will also go through multiple phases of orthodontic intervention to align the teeth and the maxillary arches. Follow-up will be needed as the child grows. Following up with only an audiologist or only a speech pathologist would not be adequate.