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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should include in the teaching that clients who use a diaphragm for birth control should have an annual examination to assess its fit and effectiveness. The nurse should also educate clients on the proper use and care of the diaphragm.
Spermicide should be used no more than 30 minutes prior to sexual intercourse, not 3 hours prior.
Emergency contraception does not provide ongoing protection against pregnancy, so clients will need to use another form of birth control immediately after taking the medication.
Fertility can return quickly after the removal of an IUD, usually within a few weeks to a month.
Correct Answer is D
Explanation
Magnesium sulfate is a medication commonly used to treat preeclampsia, a pregnancy-related condition characterized by high blood pressure and damage to other organ systems, such as the kidneys. However, magnesium sulfate can also cause adverse reactions, and the nurse should be aware of these reactions.
The nurse should recognize that a urine output of 20 mL/hr is a manifestation of an adverse reaction to magnesium sulfate, as magnesium sulfate can cause decreased urine output, which can lead to dehydration and electrolyte imbalances. The nurse should promptly report this finding to the provider, as it may require immediate intervention.
Option A is incorrect because hypertension is a symptom of preeclampsia, not an adverse reaction to magnesium sulfate.
Option B is also incorrect because hyperglycemia is not an adverse reaction to magnesium sulfate.
Option C is also incorrect because a respiratory rate of 16/min is within the normal range.
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