Author Question: A nurse is preparing to discharge an infant with Erb's palsy. Which of the following discharge ... (Read 147 times)

Pineapplelove6 · **on:** Jun 28, 2018

A nurse is preparing to discharge an infant with Erb's palsy. Which of the following discharge instructions does the nurse provide the parents? (Select all that apply.)

A.
Keep the cast clean and dry; cut nails to avoid scratches.
B.
Hold and feed the infant in the Pavlik harness.
C.
Perform passive flexion and extension to the affected arm.
D.
Position the infant with the affected arm flexed gently.
E.
Support the affected arm when holding the baby.

Question 2

A nurse is preparing an infant for circumcision. The parents ask about pain control. The nurse should inform the parents about what options? (Select all that apply.)

A.
Concentrated oral glucose solution
B.
Nonnutritive sucking
C.
Oral liquid aspirin products
D.
Swaddling and containment
E.
Topical anesthetics or anesthetic blocks

meganmoser117 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C, D, E
An infant with Erb's palsy or any other brachial plexus injury should be positioned with the affected arm in gentle flexion. The parents should also be taught to support the affected arm when holding the infant and how to perform gentle arm-strengthening exercises. The condition should resolve within a few weeks. Casts and the Pavlik harness are not used for this condition.

Answer to Question 2

ANS: A, B, D, E
Pharmacological pain management during circumcision includes topical anesthetics, ring blocks, and nerve blocks. Oral acetaminophen (Tylenol) is also an option. Nonpharmacological pain management includes providing concentrated glucose solutions, nonnutritive sucking opportunities, swaddling and containment, and therapeutic touch.