Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Decreased muscle tone

Exaggerated Moro reflex

Consoles easily

Weak cry

Answer and Explanation

The Correct Answer is B

A.   Decreased muscle tone is not typically associated with neonatal abstinence syndrome.
B.   Exaggerated Moro reflex, which is a startle response that causes the baby to fling their arms and legs out and then curl them in, is a common signof neonatal abstinence
C.   Consoling easily is not a characteristic feature of neonatal abstinence syndrome; these infants are often difficult to console.
D.   A high pitched cry is a common symptom of neonatal abstinence syndrome. A weak cry is not anticipated.

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Correct Answer is C

Explanation

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.

A. Intrauterine device B. Oral contraceptives C. Contraceptive sponge D. Diaphragm

Correct Answer is A

Explanation

A. Among the options listed, the intrauterine device (IUD) has the lowest failure rate. IUDs are highly effective at preventing pregnancy with a failure rate of less than 1%.
B. Oral contraceptives have a higher failure rate compared to IUDs.
C. The contraceptive sponge has a higher failure rate compared to IUDs.
D. The diaphragm has a higher failure rate compared to IUDs.

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Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse in a clinic is discussing contraceptive methods with a client. Which of the following methods should the nurse recommend as having the lowest failure rate?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy. Which of the following findings indicates that the fetus is at risk?

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