What therapeutic interventions might be required for a newborn after shoulder dystocia?

The correct choice reflects the necessity of targeted therapeutic interventions and careful monitoring following shoulder dystocia, particularly for any potential brachial plexus injuries that may arise. When a newborn experiences shoulder dystocia, the brachial plexus—the network of nerves that sends signals to the shoulder, arm, and hand—can be stretched or damaged during delivery.

In cases where there is evidence of nerve involvement, physical therapy becomes essential for rehabilitation. This therapy aids in recovery and maximizes the child's functional outcomes by helping to restore movement and strength to the affected area. Additionally, continuous monitoring of neurological function is critical to assess the extent of any injury and to tailor the rehabilitation approach effectively. Assessments would typically check for signs of weakness, movement ability, and sensory function to determine the best course of action.

Addressing the idea of immediate surgery as a blanket approach is not appropriate since not all cases require surgical intervention. Similarly, routine observations without intervention neglect the potential need for therapeutic support in affected newborns. Finally, administering medication without thorough evaluations undermines the importance of diagnosis and tailored intervention strategies, potentially leading to inadequate management of the injury. Therefore, focusing on physical therapy and careful monitoring aligns with best practices in managing the aftermath of shoulder dystocia.