A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?

Hypotonicity

Moderate tremors of the extremities

Axillary temperature 36.1° C (96.9° F)

Excessive sleeping

Answer and Explanation

The Correct Answer is B

A. Hypotonicity.: Incorrect. Opioid withdrawal in newborns typically presents with hypertonicity (increased muscle tone) rather than hypotonicity.

B. Moderate tremors of the extremities.: Correct. Newborns experiencing opioid withdrawal often exhibit tremors or jitteriness in the extremities as part of the withdrawal symptoms.

C. Axillary temperature 36.1° C (96.9° F).: Incorrect. Opioid withdrawal does not usually cause hypothermia. Newborns with withdrawal may have a normal or slightly elevated temperature.

D. Excessive sleeping.: Incorrect. Excessive sleeping is not a typical symptom of opioid withdrawal; rather, newborns with withdrawal might experience irritability and difficulty sleeping.

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Correct Answer is D

Explanation

A. Incorrect. The IUD does not need to be replaced each year. Depending on the type, it is typically replaced every 3 to 10 years.

B. Incorrect. Most IUDs do not require the use of spermicide. Hormonal IUDs work alone to prevent pregnancy.

C. Incorrect. It is not expected for periods to stop with all types of IUDs. Some hormonal IUDs can reduce menstrual flow, but periods may continue or change in pattern.

D. Correct. Checking for the IUD strings each month helps ensure that the IUD is in place and has not moved.

A. Bradycardia B. Flushed face C. Hypotension D. Polyuria

Correct Answer is C

Explanation

A. Incorrect. Bradycardia is not typically associated with decreased cardiac output but can indicate other conditions.

B. Incorrect. A flushed face is not a specific indicator of decreased cardiac output.

C. Correct. Hypotension is a sign of decreased cardiac output, which can occur due to excessive vaginal bleeding.

D. Incorrect. Polyuria is not directly related to decreased cardiac output; it may be related to other conditions.

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A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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