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

The newborn who is 10 hr old and has new onset tachypnea should be assessed first as this could indicate a respiratory distress, which requires immediate intervention. The other options are concerning but not as urgent as respiratory distress.

A newborn with a short frenulum and difficulty breastfeeding can be assessed after the respiratory distress is addressed.

A newborn who is 24 hr old and has not had a meconium stool should be assessed for bowel sounds and abdominal distension, but it is not as urgent as respiratory distress. A newborn who is 30 hr old and has blood-tinged discharge in her diaper can be assessed after the respiratory distress is addressed. The blood-tinged discharge could be due to the infant's mother passing her own vaginal blood to the infant or a minor vaginal laceration during delivery.

A. Administer 70% nitrous oxide mixed with oxygen. B. Ambulate the client in the hallway. C. Apply counterpressure to the sacral area. D. Have the client sit in a tub of warm water. E. Perform Leopold maneuvers

Correct Answer is ["A","C","D"]

Explanation

Administering 70% nitrous oxide mixed with oxygen is a common pain management option for laboring clients.

Applying counterpressure to the sacral area can help alleviate back pain during labor. Sitting in a tub of warm water, also known as hydrotherapy, can help reduce pain and promote relaxation during labor.

Ambulating the client may not be feasible or safe during the latent phase of labor when contractions are less frequent and intense.

Performing Leopold maneuvers, which involve palpating the mother's abdomen to determine the position of the fetus, does not directly address pain management.

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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

A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

Correct Answer is D

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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