A baby with brachial plexus injury is being discharged home. What information should the nurse include on the teaching plan?
A.
Encourage the baby to move the arm by holding out toys to reach for.
B.
Keep the baby's arm in the sling for 23 out of every 24 hours.
C.
Perform passive range-of-motion exercises to affected extremity.
D.
Return to the hospital on day 7 for microsurgical repair.
ANS: C
Brachial plexus injuries (BPI) manifest by lack of movement of an arm, elbow, wrist, or hand. The arm is initially rested, then after 5 to 10 days, passive range of motion (ROM) is started. Parents are taught to do the passive ROM several times a day. This baby is too young to reach for toys and active movement is not encouraged. The baby does not need a sling. Microsurgical repair is indicated if repair is needed, but day 7 would be too early.
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