A neonate born to a mother who was abusing heroin is exhibiting signs and symptoms of withdrawal. Which signs would the nurse assess? (Select All that Apply.)

hypertonicity

excessive sneezing

low whimpering cry

overly vigorous sucking

lethargy

tremors

Answer and Explanation

Correct Answer : A,B,C,D,E,F

A. Hypertonicity: Neonates experiencing withdrawal from heroin may exhibit increased muscle tone, leading to stiffness or rigidity. This is often observed as hypertonicity in their limbs or overall body.

B. Excessive sneezing: Nasal congestion and sneezing are common symptoms in neonates undergoing withdrawal. These symptoms can occur due to the irritant effects of withdrawal on the respiratory system.

C. Low whimpering cry: Infants with neonatal abstinence syndrome (NAS) may have a weak or high-pitched cry, which may sound like whimpering. This cry can be indicative of the discomfort and distress they are experiencing.

D. Overly vigorous sucking: Neonates with NAS may display exaggerated sucking behaviors, often characterized by frantic or overly vigorous sucking during feeding or when provided with a pacifier. This behavior is a manifestation of their heightened agitation and irritability.

E. Lethargy: Some neonates experiencing NAS may appear excessively drowsy, fatigued, or have decreased responsiveness. Lethargy is a common symptom associated with withdrawal from heroin or other opioids.

F. Tremors: Tremors or shaking movements, especially when the neonate is disturbed or agitated, are hallmark signs of NAS. These tremors can be mild to severe and may affect various parts of the body, such as the arms, legs, or jaw.

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Correct Answer is B

Explanation

A. Hepatitis:

- Hepatitis viruses (such as hepatitis B and hepatitis C) primarily affect the liver and are not directly associated with an increased risk of cervical cancer. Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections can lead to liver inflammation, cirrhosis, and liver cancer (hepatocellular carcinoma), but they do not specifically increase the risk of cervical cancer.

B. Human papillomavirus (HPV):

- Human papillomavirus (HPV) infection is strongly associated with an increased risk of cervical cancer. HPV is a sexually transmitted virus that can infect the cells of the cervix, leading to cellular changes that may progress to cervical dysplasia and cervical cancer over time. Persistent infection with high-risk strains of HPV, particularly HPV types 16 and 18, is a major risk factor for the development of cervical cancer.

C. Cytomegalovirus (CMV):

- Cytomegalovirus (CMV) is a common virus in the herpesvirus family. While CMV infection can cause complications in certain populations, such as congenital CMV infection in infants born to mothers with primary CMV infection during pregnancy, it is not known to be directly associated with an increased risk of cervical cancer.

D. Epstein-Barr virus (EBV):

- Epstein-Barr virus (EBV) is a herpesvirus that is best known for causing infectious mononucleosis (mono). EBV infection has been associated with certain types of cancers, such as Burkitt's lymphoma, Hodgkin's lymphoma, and nasopharyngeal carcinoma. However, EBV infection is not directly linked to an increased risk of cervical cancer.

A. engaging in daily exercise B. eating a high-fat diet C. becoming pregnant D. using estrogen contraceptives E. Having regular pelvic exams

Correct Answer is ["A","C","E"]

Explanation

A. Engaging in daily exercise:

Regular physical activity has been associated with a reduced risk of endometrial cancer. Exercise helps maintain a healthy weight and may help regulate hormone levels, which can contribute to a lower risk of developing endometrial cancer.

B. Eating a high-fat diet:

Consuming a high-fat diet may increase the risk of endometrial cancer. High-fat diets have been linked to obesity, which in turn is a risk factor for endometrial cancer. Additionally, high-fat diets may alter hormone levels in the body, potentially affecting the development of endometrial cancer.

C. Becoming pregnant:

Pregnancy and childbirth can have a protective effect against endometrial cancer. During pregnancy, hormonal changes and the cessation of menstrual cycles may reduce the exposure of the endometrium to estrogen, potentially decreasing the risk of developing endometrial cancer.

D. Using estrogen contraceptives:

Estrogen-containing contraceptives, such as birth control pills, patches, or hormonal intrauterine devices (IUDs), have been associated with a higher risk of endometrial cancer, especially if used for extended periods. Estrogen alone, without the balancing effect of progesterone, can stimulate the growth of the endometrium and increase the risk of cancer.

E. Having regular pelvic exams:

Regular pelvic exams, which may include a Pap smear and/or endometrial biopsy, can help detect abnormalities in the endometrium at an early stage. Early detection can lead to timely intervention and treatment, potentially reducing the risk of advanced endometrial cancer.

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A neonate born to a mother who was abusing heroin is exhibiting signs and symptoms of withdrawal. Which signs would the nurse assess? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman comes to the clinic for a routine checkup. After obtaining the client's history, the nurse identifies that the client is at increased risk for cervical cancer based on her history of exposure to which virus?

Correct Answer is B

Explanation

During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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