The nurse is assessing a 1-week-old infant and is testing his muscle strength. The nurse lifts the infant with hands under the axillae and notices that the infant starts to "slip" between the hands
The nurse should:
a.
Suspect a fractured clavicle.
b.
Suspect that the infant may have a deformity of the spine.
c.
Suspect that the infant may have weakness of the shoulder muscles.
d.
Conclude that this is a normal finding because the musculature of an infant at this age is undeveloped.
ANS: C
An infant who starts to "slip" between the nurse's hands shows weakness of the shoulder muscles. An infant with normal muscle strength wedges securely between the nurse's hands. The other responses are not correct.
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