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: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

A. An increase in platelet count B. A decrease in blood pressure C. A decrease in FHR D. An increase in urinary output

Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

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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 with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?

Correct Answer is B

Explanation

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

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?

A nurse is reinforcing teaching about breastfeeding with a client who is postpartum. Which of the following statements by the client indicates an understanding of the teaching?

A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level. Which of the following foods should the nurse recommend the client increase in her diet?

A nurse is administering a miconazole vaginal suppository to a client who has vaginal candidiasis. Which of the following actions should the nurse take?

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

A nurse is caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?