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 B

Choice A rationale
An absent Moro reflex is not typically associated with neonatal abstinence syndrome (NAS), a condition that can occur in newborns exposed to opioids in utero.
Choice B rationale
A weak cry is a common symptom of NAS. Newborns with this syndrome often have high- pitched or weak cries.
Choice C rationale
Poor feeding is a symptom of NAS, but it is not the most specific symptom in this context.
Choice D rationale
A respiratory rate of 30/min is within the normal range for a newborn and is not indicative of NAS5.

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Correct Answer is B

Explanation

Choice A rationale
Asking why the adolescent is requesting birth control may come across as judgmental and could discourage open communication.
Choice B rationale
Understanding what the adolescent knows about contraception can help guide the discussion and ensure that she is making an informed decision.
Choice C rationale

Whether or not the partner loves the adolescent is not directly relevant to the decision to use birth control. The focus should be on the adolescent’s reproductive health and autonomy.
Choice D rationale
While it’s important to discuss coercion in sexual relationships, this question could be seen as intrusive or presumptive. It’s more appropriate to provide information about healthy relationships and consent.

Correct Answer is []

Explanation

• Neonatal hypoglycemia: The newborn’s blood glucose level is 30 mg/dL, which is below the normal range. This, along with the jitteriness, weak cry, and mottled skin with acrocyanosis, suggests the newborn is most likely experiencing neonatal hypoglycemia.
• Actions to take: The nurse should administer a 10% dextrose IV bolus as prescribed by the provider to increase the newborn’s blood glucose levels. The nurse should also monitor the newborn’s blood glucose levels every 30 minutes to ensure they are increasing towards the normal range.
• Parameters to monitor: The nurse should monitor the newborn’s blood glucose levels to ensure they are increasing towards the normal range. The nurse should also monitor the newborn’s heart rate, as tachycardia can be a sign of hypoglycemia. If the newborn’s condition does not improve or worsens, the nurse should notify the healthcare provider immediately.

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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 in a clinic is caring for an adolescent patient who requests a prescription for birth control. Which of the following Questions should the nurse ask?

Correct Answer is B

Explanation

Correct Answer is []

Explanation

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