The nurse is caring for a newborn with suspected neonatal abstinence syndrome.
The mother is currently taking methadone and is in a treatment program.
Which intervention should the nurse implement prior to discharge?

Recommend the newborn stay in the nursery.

Provide multidisciplinary resources and ongoing support.

Administer methadone to the newborn prior to discharge.

Call social services for foster care placement.

Answer and Explanation

The Correct Answer is B

Choice B rationale

Providing multidisciplinary resources and ongoing support is crucial for newborns exposed to methadone. This approach helps in managing withdrawal symptoms and ensures the child receives comprehensive care.

Choice A rationale

Keeping the newborn in the nursery may be beneficial initially but does not address the long-term needs of the child and the family.

Choice C rationale

Administering methadone to the newborn is not typically done unless specifically indicated by the healthcare provider.

Choice D rationale

Calling social services for foster care placement may be necessary in some cases, but providing support and resources to the mother and child is the primary intervention.

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Correct Answer is A

Explanation

Hypoglycemia is a common concern for newborns with low birth weight. Their glucose reserves are limited, and they have a higher metabolic rate, making them prone to low blood sugar levels.

Choice B rationale

Polycythemia, an increased red blood cell count, is not typically a primary concern based on the measurements given. It is more commonly associated with conditions like delayed cord clamping or maternal diabetes.

Choice C rationale

Hyperthermia is not a primary concern based on the provided measurements. Thermoregulation issues might arise, but initial focus should be on managing glucose levels.

Choice D rationale

Hyperbilirubinemia, or jaundice, can occur in newborns but is not the immediate priority based on the given physical findings. Monitoring and managing blood sugar levels is more critical in the initial hours after birth.

A. Request placement of the epidural. B. Determine current cervical dilation. C. Decrease the oxytocin infusion rate. D. Give a bolus of intravenous fluids.

Correct Answer is B

Explanation

Choice A rationale

Requesting placement of the epidural should be based on the current cervical dilation and labor progress. Administering an epidural too early may lead to prolonged labor and increased risk of interventions.

Choice B rationale

Determining current cervical dilation is essential to assess the progress of labor and to make informed decisions about pain management and the use of epidurals. This ensures appropriate timing for interventions.

Choice C rationale

Decreasing the oxytocin infusion rate would not be the first action without assessing the current cervical dilation and labor progress. Oxytocin adjustments should be based on specific clinical indications and findings.

Choice D rationale

Giving a bolus of intravenous fluids is typically done before administering an epidural to prevent hypotension. However, this should be preceded by assessing cervical dilation to determine the timing and need for an epidural.

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The nurse is caring for a newborn with suspected neonatal abstinence syndrome.The mother is currently taking methadone and is in a treatment program.Which intervention should the nurse implement prior to discharge?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces (2.2 kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches (25.4 cm). Based on these physical findings, assessment for which condition has the highest priority?

Correct Answer is A

Explanation

A client whose labor is being augmented with an oxytocin infusion requests an epidural for pain control.Findings of the last vaginal exam, performed one hour ago, were 3 cm cervical dilation, 60% effacement, and a -2 station.Which action should the nurse implement first?

Correct Answer is B

Explanation

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The nurse is caring for a newborn with suspected neonatal abstinence syndrome.
The mother is currently taking methadone and is in a treatment program.
Which intervention should the nurse implement prior to discharge?