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A nurse is assessing a newborn of a client who reported methadone use during pregnancy. What manifestations should the nurse expect the newborn to exhibit?

A.

Absent Moro reflex

B.

Weak cry

C.

Poor feeding

D.

Respiratory rate of 30/min

Answer and Explanation

The Correct Answer is C

Correct answer: C. Poor feeding

Newborns exposed to methadone in utero are at risk for neonatal abstinence syndrome (NAS), which can manifest with:

  • Poor feeding due to uncoordinated suck and swallow reflexes, irritability, and gastrointestinal symptoms.

  • High-pitched cry, not weak—so option B is incorrect.

  • Exaggerated Moro reflex, not absent—so option A is incorrect.

  • Tachypnea (rapid breathing), often >60/min—so a respiratory rate of 30/min is abnormally low and not expected in this context, making option D incorrect.


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Related Questions

Correct Answer is C

Explanation

Correct answer: C. Poor feeding

Newborns exposed to methadone in utero are at risk for neonatal abstinence syndrome (NAS), which can manifest with:

  • Poor feeding due to uncoordinated suck and swallow reflexes, irritability, and gastrointestinal symptoms.

  • High-pitched cry, not weak—so option B is incorrect.

  • Exaggerated Moro reflex, not absent—so option A is incorrect.

  • Tachypnea (rapid breathing), often >60/min—so a respiratory rate of 30/min is abnormally low and not expected in this context, making option D incorrect.

Correct Answer is C

Explanation

Choice A rationale
Feeding the newborn 5 to 10 minutes per breast may not be sufficient for the baby to get all the necessary nutrients. It is generally recommended to allow the baby to feed until they naturally let go of the breast.
Choice B rationale
Expecting two to four wet diapers every 24 hours is not accurate for a breastfeeding newborn. A well-fed newborn will typically have at least six wet diapers a day.
Choice C rationale
This is the correct answer. It is generally recommended to allow the baby to feed at least every 3 hours. This ensures that the baby gets enough nutrients and helps stimulate milk production.
Choice D rationale
Offering the newborn 30 mL (1 oz) of water between feedings is not recommended. Breast milk or formula should be the primary source of hydration for a newborn.

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