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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 D

Explanation

A. Incorrect. Periodic tingling of fingers is not typically considered a sign of a serious prenatal complication. It can be related to normal pregnancy changes such as carpal tunnel syndrome.

B. Incorrect. The absence of clonus is not indicative of a complication. Clonus, or the lack thereof, is a normal finding in the absence of significant neurological issues.

C. Incorrect. Leg cramps are a common issue during pregnancy and usually not a sign of a severe complication.

D. Correct. Blurred vision can be a sign of preeclampsia or other significant prenatal complications, and should be evaluated further to ensure proper management and safety for both the mother and fetus.

Correct Answer is B

Explanation

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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