What is a common neonatal physical examination finding after a shoulder dystocia?

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Asymmetry of arm movement or absence of movement in an affected limb is a common physical finding in neonates who have experienced shoulder dystocia. This condition occurs during childbirth when the baby's shoulder gets stuck behind the mother's pelvic bone, potentially causing injury to the brachial plexus nerves, which are responsible for arm movement. As a result of this injury, the infant may exhibit weakness or paralysis of the affected arm, leading to noticeable asymmetry in limb movement.

This presentation is critical for the early identification and management of potential complications, allowing for appropriate interventions and support for both the infant and family. Recognizing these signs can also guide healthcare providers in determining the need for further diagnostic evaluation and treatment to promote optimal recovery outcomes.

The other options may present in various scenarios but are not directly associated with shoulder dystocia in the same way as limb movement asymmetry. Jaundice and respiratory distress, for instance, can occur in many different contexts in neonates but are not specific indicators of previous shoulder dystocia complications.

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