The physical examination is performed once stabilized the newborn preferably twelve hours after birth. The player must be sent first to the history of the mother to know the position, design and type of birth (eutopic or dystocic) or other information that can guide clinical findings.
Sex and development in relation to gestational age and the presence of major malformation or deformation must be noticed. The presence of asymmetry in movement may indicate injury of brachial plexus or cervical cancer.
A vertex presentation is observed: arms and legs in moderate flexion clenched fists resistance to limb extension or measurement. If the presentation was breech legs will be stiff and extended takes the position in utero. (more…)