Certified Neuroscience Registered Nurse (CNRN) Practice Exam

What is one of the most important discharge education pieces for parents taking home a baby with Erb's palsy?

1. Passive range of motion exercises for the affected arm

2. Regular nerve assessments

3. Use of splints during sleep

4. Avoiding all physical contact with the arm

The correct answer is: Passive range of motion exercises for the affected arm

One of the most important discharge education pieces for parents taking home a baby with Erb's palsy is the emphasis on passive range of motion exercises for the affected arm. This condition involves an injury to the brachial plexus, affecting movement and strength in the arm. Passive range of motion exercises are critical as they help to maintain flexibility in the joints and prevent stiffness, which is crucial for the arm's long-term function and development. Parents need to understand how to gently move the baby's arm through its full range of motion to support recovery and facilitate improvement in mobility. In contrast, regular nerve assessments are more suited for clinical settings rather than home education, and while they are important for monitoring progress, they are not as practical for daily care at home. The use of splints during sleep can play a role in providing support, but it should be viewed as part of a broader physical therapy strategy rather than the sole focus of discharge education. Avoiding all physical contact with the arm can lead to further complications such as contractures and should definitely be discouraged; instead, caregivers should be encouraged to engage in proper and safe handling of the affected arm. Thus, recognizing the importance of passive range of motion exercises not only aids in recovery but also empowers parents to