Neonatal Nurse Practitioner Practice Exam

After a traumatic delivery, what is the recommended follow-up care for a neonate with a motionless arm and localized edema?

1. Casting of the affected limb

2. Physical therapy

3. Surgical repair

4. Observation and monitoring

The correct answer is: Physical therapy

The recommended follow-up care for a neonate with a motionless arm and localized edema after a traumatic delivery typically involves physical therapy. This approach is essential as it promotes the restoration of function and mobility in the affected limb. Neonates may experience conditions like brachial plexus injuries or other forms of trauma during delivery that result in such symptoms. Physical therapy is beneficial in providing supportive care, enhancing muscle strength, and improving range of motion. While casting might be relevant in certain fractures, it is not a standard immediate intervention for soft tissue injuries or neurological impairments. Surgical repair could be indicated in some scenarios of severe nerve injury, but it is not the first-line treatment for isolated motor impairments initially. Observation and monitoring are essential in any medical assessment, but they are typically not sufficient on their own to address the challenges presented by a motionless arm and localized edema. Active intervention through physical therapy is crucial in facilitating recovery and ensuring the best possible functional outcome for the neonate.