Which of the following is NOT an expected sign of neonatal abstinence syndrome?

Excessive crying.

Normal sleep patterns.

Decreased muscle tone.

Increased appetite.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Excessive crying is a common symptom of neonatal abstinence syndrome. This is because the baby is experiencing withdrawal symptoms after being exposed to drugs in the womb before birth.

Choice B rationale

Normal sleep patterns are not typically associated with neonatal abstinence syndrome. Infants with this condition often have sleep problems.

Choice C rationale

Decreased muscle tone is not a common symptom of neonatal abstinence syndrome. In fact, these infants often have tight muscle tone and overactive reflexes.

Choice D rationale

Increased appetite is not a typical symptom of neonatal abstinence syndrome. These infants often have poor feeding and sucking, which could lead to poor weight gain.

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Correct Answer is D

Explanation

Choice A rationale

Removing elbow restraints while the infant is sleeping is not a recommended intervention following cleft palate repair. Elbow restraints are used to prevent the infant from touching the surgical site and potentially causing injury or infection. Therefore, they should not be removed while the infant is sleeping.

Choice B rationale

Keeping the infant in a side-lying position is not a specific recommended intervention following cleft palate repair. The position of the infant following surgery will depend on various factors, including the infant’s comfort and the surgeon’s instructions.

Choice C rationale

Feeding the infant half-strength formula for the first 48 hours is not a specific recommended intervention following cleft palate repair. The infant’s feeding regimen following surgery will depend on various factors, including the infant’s age, weight, and overall health, as well as the surgeon’s instructions.

Choice D rationale

Administering pain medication PRN (as needed) for the first 48 hours is a recommended intervention following cleft palate repair. Pain management is an important part of postoperative care, and appropriate pain medication can help ensure the infant’s comfort and promote healing.

A. Use the FACES scale to assess the child’s pain level. B. Use the Visual Analog Scale to assess the child’s pain level. C. Use a color tool to assess the child’s pain level. D. Use a numeric scale to assess the child’s pain level.

Correct Answer is A

Explanation

Choice A rationale

The FACES scale is a valid tool for assessing pain in children aged 3 years and older. It uses a series of faces to help the child express their level of pain.

Choice B rationale

The Visual Analog Scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.

Choice C rationale

A color tool may not be effective for a 3-year-old child as they may not yet fully understand the concept of associating colors with different levels of pain.

Choice D rationale

A numeric scale is typically used for adults and older children who can understand the concept of ranking their pain on a scale from 0 to 10. It may not be suitable for a 3-year-old child.

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Which of the following is NOT an expected sign of neonatal abstinence syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair.Which of the following interventions should the nurse contribute to the client’s plan of care?

Correct Answer is D

Explanation

A nurse is collecting data regarding the pain level of a 3-year-old child on the second postoperative day following an appendectomy.Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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