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.
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.
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