The nurse suspects a newborn has a fractured clavicle. What are signs of a fractured clavicle? (Select all that apply.)
a. An asymmetric Moro reflex
b. Limited use of the affected arm
c. Crying when the arm is moved
d. Muscles of the hand are paralyzed
e. The arm hangs limp alongside the body
ANS: A, B, C
A newborn with a fractured clavicle may have no signs, but the nurse should suspect a fracture if an infant has limited use of the affected arm, malpositioning of the arm, an asymmetric Moro reflex, or focal swelling or tenderness or cries when the arm is moved. Paralyzed hand muscles and an arm that hangs limp alongside the body are signs of Erb palsy.
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