A nurse is planning care for a 4-hour-old newborn born to a client who has a prenatal history of substance use disorder. Which of the following interventions should the nurse include in the plan of care?
Perform a Ballard exam and obtain a score to identify exposure to substances.
Provide consoling therapies such as offering non-nutritive sucking with a pacifier.
Administer naloxone.
Encourage the parents and visitors to provide frequent bonding.
The Correct Answer is B
Choice A rationale
The Ballard exam assesses gestational age, not substance exposure. It does not provide information about substance use disorder.
Choice B rationale
Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms due to substance exposure.
Choice C rationale
Naloxone is used to reverse opioid overdose, but it is not indicated for routine care of newborns with substance exposure.
Choice D rationale
Frequent bonding can overstimulate newborns withdrawing from substances. Limited, calming interactions are more appropriate in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.
Choice B rationale
Maternal bradycardia is not a specific symptom of amniotic fluid embolism and may be related to other cardiovascular conditions.
Choice C rationale
Category 1 fetal heart tracing indicates normal fetal heart rate and is not associated with amniotic fluid embolism.
Choice D rationale
Acute, continuous abdominal pain could indicate other obstetric emergencies but is not specifically linked to amniotic fluid embolism symptoms like respiratory distress.
Correct Answer is B
Explanation
Choice A rationale
Biologically, women are more susceptible to sexually transmitted infections (STIs) due to anatomical differences, such as a larger mucosal surface area, making this statement incorrect.
Choice B rationale
Many STIs, such as chlamydia and gonorrhea, can be asymptomatic. This means a person can have an STI without showing signs or symptoms, making routine screening important.
Choice C rationale
Not all STIs are curable. While bacterial STIs like syphilis and gonorrhea can be treated with antibiotics, viral STIs like herpes and HIV can only be managed, not cured.
Choice D rationale
Condoms significantly reduce the risk of acquiring STIs but do not eliminate it entirely. They protect against fluid transmission but not necessarily from skin-to-skin contact infections like HPV.
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