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 C

Explanation

A. Burning - This method involves using heat or a cautery device to burn away abnormal tissue. It is typically referred to as electrocautery or thermal ablation. While burning is a method used in some procedures, such as electrocautery for removing warts or lesions, it is not the technique used in cryosurgery.

B. Irradiating - This term refers to the use of radiation therapy to treat cancer or abnormal tissue growth. In irradiation, high-energy radiation beams are directed at the target area to destroy abnormal cells. It is not the method used in cryosurgery.

C. Freezing - Cryosurgery involves freezing the abnormal tissue using extremely cold temperatures, typically with the application of liquid nitrogen or another cryogen. The freezing process causes cellular destruction, leading to the removal of the abnormal tissue. Cryosurgery is commonly used in dermatology, gynecology, and other medical specialties for various conditions.

D. Cutting - Cutting involves physically removing tissue using surgical instruments such as scalpels or scissors. While cutting may be involved in some procedures to remove abnormal tissue, such as excisional biopsies, cryosurgery specifically does not involve cutting. Instead, it relies on freezing to destroy and remove the targeted tissue.

A. immunization B. prenatal screening C. antibody titer screening D. frequent handwashing

Correct Answer is D

Explanation

A. Immunization:

Currently, there is no licensed vaccine available for the prevention of cytomegalovirus (CMV) infection. Therefore, immunization is not a viable option for preventing CMV infection during pregnancy. While researchers are actively working on developing a CMV vaccine, it is not yet available for widespread use.

B. Prenatal screening:

Prenatal screening for CMV is not routinely performed during prenatal care. Screening for CMV during pregnancy is not typically recommended unless there is a specific clinical indication, such as maternal symptoms suggestive of acute CMV infection or fetal abnormalities detected on ultrasound. Therefore, prenatal screening is not a primary preventive measure for CMV infection during pregnancy.

C. Antibody titer screening:

Antibody titer screening for CMV is also not routinely performed during prenatal care. While some healthcare providers may offer CMV antibody testing in certain situations, such as for women with a known exposure to CMV or those at increased risk of primary CMV infection during pregnancy, it is not a standard practice for all pregnant women. Therefore, antibody titer screening is not a primary preventive measure for CMV infection during pregnancy.

D. Frequent handwashing:

Frequent handwashing is the most important preventive measure for reducing the risk of CMV infection during pregnancy. CMV is commonly transmitted through close contact with bodily fluids, such as saliva, urine, blood, and genital secretions. Proper hand hygiene, including washing hands with soap and water for at least 20 seconds, especially after coming into contact with young children's saliva or urine, can help prevent the spread of CMV. This measure is crucial for pregnant women to reduce their risk of acquiring CMV and transmitting it to their unborn babies.

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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 client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

Correct Answer is C

Explanation

A nurse is preparing a teaching program for a group of pregnant women about preventing infections during pregnancy. When describing measures for preventing cytomegalovirus infection, which measure would the nurse include as a priority?

Correct Answer is D

Explanation

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