A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Hypotonicity

Decreased startle response

High-pitched cry

Increased head circumference

Answer and Explanation

The Correct Answer is C

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as a result of central nervous system irritability. Other possible findings may include hypertonicity, exaggerated startle response, and decreased head circumference. Hypotonicity is not a typical finding in a newborn exposed to cocaine in utero.

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Correct Answer is D

Explanation

Abdominal ultrasounds are noninvasive imaging tests that use high-frequency sound waves to create images of the internal organs. When an abdominal ultrasound is performed, the client is typically asked to drink water before the test and to hold the urine to ensure that the bladder is full. This full bladder helps to create a clear image of the uterus and the developing fetus.

Option A is incorrect because applying perfumed lotion to the abdomen can interfere with the ultrasound waves and may affect the quality of the images.

Option B is also incorrect because having an empty stomach is not necessary for an abdominal ultrasound.

Option C is also incorrect because a stool softener is not necessary for an abdominal ultrasound.

A. Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation. B. Use a fetal scalp electrode during labor and delivery. C. Bathe the newborn before initiating skin-to-skin contact. D. Administer a pneumococcal immunization to the newborn within 4 hr following

Correct Answer is C

Explanation

The purpose of bathing the newborn before initiating skin-to-skin contact is to decrease the risk of transmission of the virus from the mother to the newborn. Instructing the client to stop taking the antiretroviral medications at 32 weeks of gestation is incorrect as these medications should be taken throughout pregnancy to decrease the risk of transmission to the fetus.

Using a fetalscalp electrode during labor and delivery is also not an appropriate action as it increases the risk of transmission of the virus to the newborn. Administering a pneumococcal immunization to the newborn within 4 hours following birth is not specific to HIV positive newborns and is not related to preventing transmission of the virus.

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A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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