A 2-Hour-Old Boy Is Evaluated in the Delivery Room for Minimal

question 323

Multiple Choice

A 2-hour-old boy is evaluated in the delivery room for minimal right arm movement.  He was born at 37 weeks gestation by vacuum-assisted, vaginal delivery to a 39-year-old woman who had excessive weight gain during pregnancy.  The delivery was complicated by a 3-minute shoulder dystocia.  Birth weight was 4.6 kg (10.1 lb) .  Examination shows a small area of edema in the scalp that does not cross suture lines.  The right upper extremity is held in adduction and internal rotation with the elbow extended, forearm pronated, and wrist and fingers flexed.  Moro and biceps reflexes are absent in the right arm.  The remainder of the examination is normal.  Which of the following is the most appropriate next step in management of this patient's condition?

• A)Botulinum toxin injections
• B)MRI of the brain
• C)MRI of the spine
• D)Nerve graft procedure
• E)Observation only

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Definitions:

Value Of Sum

An expression representing the total result of adding two or more numbers or variables together.

If Statement

A control flow statement that allows conditional execution of a block of code, depending on the truth value of an expression.

Value Of Y

This term refers to discovering or discussing the numerical or literal content assigned to the variable identified as 'Y'.

Switch Statement

A switch statement is a control statement in programming languages used to perform different actions based on different conditions.