The nurse is caring for a newborn with Erb palsy. The nurse ...

[stephzh]

The nurse is caring for a newborn with Erb palsy. The nurse understands that which reflex is absent with this condition?
 
  a. Root reflex
  b. Suck reflex
  c. Grasp reflex
  d. Moro reflex

Question 2

What statement best describes Duchenne (pseudohypertrophic) muscular dystrophy (DMD)?
 
  a. It has an autosomal dominant inheritance pattern.
  b. Onset occurs in later childhood and adolescence.
  c. It is characterized by presence of Gower sign, a waddling gait, and lordosis.
  d. Disease stabilizes during adolescence, allowing for life expectancy to approximately age 40 years.

[Sarahjh]

Answer to Question 1

ANS: D
Erb palsy (Erb-Duchenne paralysis) is caused by damage to the upper plexus and usually results from stretching or pulling away of the shoulder from the head. The Moro reflex is absent in a newborn with Erb palsy. The root and suck reflex are not affected. A grasp reflex is present in newborns because the finger and wrist movements remain normal.

Answer to Question 2

ANS: C
DMD is characterized by a waddling gait and lordosis. Gower sign is a characteristic way of rising from a squatting or sitting position on the floor. DMD is inherited as an X-linked recessive gene. Genetic counseling is recommended for parents, female siblings, maternal aunts, and their female offspring. Onset occurs usually between ages 3 and 5 years. DMD has a progressive and relentless loss of muscle function until death by respiratory or cardiac failure.

[stephzh]

TYSM

[chereeb]

Gracias!