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 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.

A. "I may have an infection if I develop a dark line in the middle of my abdomen." B. "I may develop discoloration on my cheeks from hormonal changes." C. "I should expect my fingers and face to be swollen." D. "I should expect to have burning when I urinate during the third trimester."

Correct Answer is B

Explanation

A: A dark line in the middle of the abdomen (linea nigra. is a normal pigment change during pregnancy and is not indicative of an infection.
B: Hormonal changes during pregnancy can lead to increased pigmentation, often called "mask of pregnancy" or chloasma. This can cause discoloration on the cheeks.
C: Swelling of fingers and face (edema. can occur during pregnancy due to fluid retention, but it is not universal for all pregnant individuals.
D: Burning during urination is more indicative of a urinary tract infection and should be reported to a healthcare provider.

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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 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 in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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