The primary care that the pediatric nurse practitioner do is to (b) Gently attempt a supination and flexion technique.
The most likely type of damage here is "nursemaid's elbow," or annular ligament dislocation. Either a supination/flexion approach or a pronation technique can be used by the primary provider to try and minimize the elbow. If there are persistent dislocations or additional symptoms or indicators, consider mistreatment.
After three tries, if this doesn't work, immobilization and referral are suggested. Rarely are radiologic investigations required. For the supination-flexion method, quickly and forcefully supinate the forearm before completely flexing the elbow in one continuous motion.
When a decrease is accomplished, pay attention for a click or a noticeable pop at the radial head.
Here is another question with an answer similar to this about ligament dislocation: https://brainly.com/question/28215833
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Question correction:
A 3 year old child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do?
a. Consider maltreatment as a possible cause of injury.
b. Gently attempt a supination and flexion technique.
c. Immobilize the arm with a sling and refer to orthopedics.
d. Obtain a radiograph of the child's right arm and elbow.
