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Nurses' Notes For each assessment finding, click to specify if the findings is consistent with a clavicle fracture or Erb-Duchenne paralysis. 1100: Each finding may support more than one condition. Newborn held skin-to-skin with client who is breastfeeding for 1 hr and breastfed vigorously for 30 Assessment Clavicle Erb-Duchenne minutes. Findings fracture paralysis Large ecchymotic caput succedaneum noted on occiput Birth history with molding of the skull. Anterior fontanel level and soft. Wrist flexion Respirations shallow and irregular. Crepitus palpated Crepitus over left clavicle. Palmar grasp reflex Skin color consistent with infant's genetic background. Acrocyanosis noted. Moro reflex findings Active and moves all extremities except for left arm. Arm movement Limited spontaneous movement of the left arm noted. Wrist unflexed. Asymmetric Moro reflex noted; left arm Note: Each category must have at least 1 response option selected. remains at newborn's side. Palmar grasp reflex equal bilaterally