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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?

Absent Moro reflex

Weak cry

Poor feeding

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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Correct Answer is A

Explanation

Choice A rationale
Uterine tenderness is a common symptom of endometritis, which is an inflammation or irritation of the lining of the uterus.
Choice B rationale
While a high WBC count can be an indicator of infection, a count of 9,000/mm is within the normal range.
Choice C rationale

Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or prolonged bleeding.
Choice D rationale
A temperature of 37.4 C (99.3 F) is within the normal range. Endometritis is often associated with fever. .

A. The client will demonstrate proper bathing of the infant. B. The client will verbalize appropriate car seat safety. C. The client will have adequate nutritional intake. D. The client will identify necessary family roles.

Correct Answer is C

Explanation

Choice A rationale
While demonstrating proper bathing of the infant is an important skill for new mothers, it is not typically a primary goal during the taking-in phase. This phase is characterized by the mother’s need to review her birth experience and begin to process her new role.
Choice B rationale
Verbalizing appropriate car seat safety is important, but it is not a primary goal during the taking-in phase. This phase is more focused on the mother’s internal processing of her birth experience.

Choice C rationale
This is the correct answer. Having adequate nutritional intake is a key goal during the taking-in phase. Good nutrition is essential for healing and recovery after childbirth, as well as for breastfeeding.
Choice D rationale
Identifying necessary family roles is an important part of adjusting to parenthood, but it is not a primary goal during the taking-in phase. This phase is more about the mother’s personal adjustment and recovery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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