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 C

Explanation

Choice A rationale

While bulb syringe use is important for clearing the newborn's airways, it is not the immediate priority during the fourth stage of labor. This information can be provided later during routine newborn care education.

Choice B rationale

Newborn screening tests are important for identifying potential health issues, but the fourth stage of labor is focused on stabilizing the mother and infant and initiating breastfeeding. Screening information can be shared during the postpartum period.

Choice C rationale

Techniques to breastfeed are critical information to provide during the fourth stage of labor as it helps establish successful breastfeeding early on. This support can enhance maternal-infant bonding and promote breastfeeding success.

Choice D rationale

Circumcision care is relevant for parents who choose to circumcise their infant, but it is not the immediate priority during the fourth stage of labor. This information can be provided during subsequent postpartum visits.

Correct Answer is ["6"]

Explanation

Step 1 is: Determine the oxytocin concentration in milliunits per mL:. 20,000 milliunits ÷ 1,000 mL = 20 milliunits/mL.

Step 2 is: Calculate the flow rate in mL/hour:. 2 milliunits/min ÷ 20 milliunits/mL × 60 min/hour = 6 mL/hour.

Final answer: 6.

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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

A primigravida client is in the fourth stage of labor after the delivery of a newborn male infant.Which information should the nurse provide?

Correct Answer is C

Explanation

A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only)

Correct Answer is ["6"]

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?