A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

Weigh the newborn's wet diaper.

Auscultate the newborn's bowel sounds.

Determine the newborn's respiratory rate.

Swaddle the newborn in blankets.

Answer and Explanation

The Correct Answer is C

A.   weighing the newborn's wet diaper, is a routine part of newborn care but is not the first priority in this situation.
B.   auscultating the newborn's bowel sounds, is important for assessing gastrointestinal function but is not the first priority when the baby is at risk for respiratory distress.
C.   Neonatal abstinence syndrome (NAS) is a condition that occurs in newborns who were exposed to addictive substances in utero. One of the key concerns in NAS is respiratory distress, so determining the newborn's respiratory rate is the first priority.
D.   swaddling the newborn in blankets, is a comfort measure but does not address the immediate concern of assessing respiratory status in a baby with suspected NAS.

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Correct Answer is B

Explanation

A. applying petroleum jelly to the suppository, is not necessary and may interfere with the medication's absorption.
B. Inserting the suppository along the posterior vaginal wall as far up as one can go.
C. inserting the suppository 5 cm (2 in), is the incorrect technique for administering a vaginal suppository. It should be administered as high up as one comfortably can
D. assisting the client into a prone position, is unnecessary and not related to the administration of the suppository.

A. 2+ ketonuria B. 1.030 urine specific gravity C. Hct 38% D. Fasting blood glucose 70 mg/dL

Correct Answer is A

Explanation

A. 2+ ketonuria indicates an elevated level of ketones in the urine, which can be a sign of inadequate nutrition or metabolism. This should be reported to the provider for further evaluation.
B. A urine specific gravity of 1.030 is within normal range during pregnancy.
C. A hematocrit (Hct) of 38% is within the normal range for a pregnant individual.
D. A fasting blood glucose level of 70 mg/dL is within the normal range.

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A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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