The patient vaginally delivers an infant that weighs 4750 g. Moderate shoulder dystocia occurred during the birth. During the initial assessment of this infant, the nurse should look for:
1. Bell's palsy.
2. Bradycardia.
3. Erb palsy.
4. Petechiae.
3
Rationale 1: Bell's palsy is not associated with macrosomia.
Rationale 2: Bradycardia is not associated with macrosomia.
Rationale 3: Macrosomic newborns should be inspected for cephalhematoma, Erb palsy, and fractured clavicles.
Rationale 4: Petechiae can occur with shoulder dystocia, but are not significant.
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