Abstract
A term male newborn presents with a swollen left upper extremity. ### Prenatal History: ### Birth History and Presentation: The infant was delivered from vertex presentation by spontaneous vaginal delivery. A pediatric team was not present at the delivery because there were no risk factors. Delivery was complicated by left shoulder dystocia. Because the labor and delivery nurse noted that the infant had poor tone and respiratory effort, he received positive pressure ventilation with bag and mask for approximately 1 minute, and the pediatric team was called. Apgar scores were 3 at 1 minute and 7 at 5 minutes. The birthweight was 3.7 kg. What other physical examination findings are pertinent? What laboratory tests would you order? What interventions are indicated? ### Vital Signs: ### Physical Examination: #### Photograph of infant's body The patient was started on oxygen by nasal …
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