A newborn following shoulder dystocia has reduced movement of one arm and an asymmetric Moro reflex. Which injury should the nurse suspect?
Correct answer: A. Brachial plexus injury
- A. Brachial plexus injury
- B. Congenital hip dislocation
- C. Facial nerve palsy
- D. Tibial nerve injury
Explanation
Shoulder dystocia can stretch the brachial plexus, causing weakness or paralysis of the affected arm. An asymmetric Moro reflex supports an upper-limb nerve injury rather than a hip, facial, or lower-limb problem.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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