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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?

A.

Hypotonicity

B.

Moderate tremors of the extremities

C.

Axillary temperature 36.1° C (96.9° F)

D.

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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Related Questions

Correct Answer is B

Explanation

A. Vitamin E: Incorrect. While Vitamin E is important for overall health, it is not specifically required in increased amounts during the first trimester of pregnancy compared to other nutrients.

B. Protein: Correct. Protein needs increase during pregnancy to support the growth and development of the fetus and placenta. Early pregnancy is a critical period for the development of fetal tissues, making increased protein intake essential.

C. Fiber: Incorrect. Fiber is important for digestive health, but its intake does not need to be increased specifically during the first trimester compared to protein.

D. Calcium: Incorrect. Calcium is crucial throughout pregnancy, but the requirement for calcium intake does not change significantly during the first trimester compared to later stages of pregnancy.

Correct Answer is A

Explanation

A. Correct. Checking the identification badge of anyone who removes the baby from the room is an essential safety measure to ensure the baby is only handled by authorized personnel.

B. Incorrect. Sharing a photo of the baby on social media can pose security risks and is not recommended for newborn safety.

C. Incorrect. Allowing the baby to sleep unattended on the bed is unsafe due to the risk of falling or suffocation. The baby should always be in a safe sleep environment.

D. Incorrect. Nurses should follow protocols for transporting babies, which typically involve using a crib or bassinet rather than carrying the baby in their arms, to ensure safety.

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