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 B

Explanation

A. The shoulder harness should be placed between the breasts and off to the side of the gravid uterus, not directly across it. This helps reduce the risk of injury in the event of a crash.

B. Moving the seat as far away as possible from the steering wheel reduces the risk of injury from the steering wheel or airbag impact while still allowing the client to drive safely.

C. The lap belt should be worn low across the hips and under the abdomen, not high across the abdomen, to protect the growing fetus and prevent harm during sudden deceleration.

D. Airbags should not be disabled as they provide essential protection during a crash. Proper seatbelt use and correct seating position allow airbags to function effectively without posing a risk to the pregnant client.

A. Left calf tenderness B. Moderate lochia rubra C. Urine output of 3,000 mL D. Breast engorgement

Correct Answer is A

Explanation

A. Left calf tenderness can be a sign of deep vein thrombosis (DVT), which is a serious postoperative complication and should be reported to the provider.
B. Moderate lochia rubra is an expected finding after a cesarean birth.
C. A urine output of 3,000 mL is within normal range and does not warrant immediate reporting to the provider.
D. Breast engorgement is an expected finding in the postpartum period, especially if the client is not breastfeeding. It does not require immediate reporting.

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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 reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is 2 days postoperative following a cesarean birth. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

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?

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A nurse is auscultating fetal heart tones with a Doppler device for a client who is at 12 weeks of gestation. Where should the nurse expect to auscultate the fetal heart tones?