Your patient presents to labor and delivery with opioid use disorder and is taking methadonE. The best treatment for her baby that will develop neonatal abstinence syndrome is:

Choice A: Prolapsed cord is not a likely complication, as it is characterized by a sudden onset of severe variable decelerations of the fetal heart rate and a visible or palpable cord in the vaginA. The nurse should identify a prolapsed cord as a medical emergency and perform immediate interventions to relieve the cord compression and deliver the fetus.

Choice B: Premature rupture of membranes is not a likely complication, as it is characterized by a gush or a trickle of clear or yellowish fluid from the vagina and a positive nitrazine or fern test. The nurse should identify premature rupture of membranes as a risk factor for infection and monitor the fetal heart rate and the maternal temperaturE.

Choice C: Abruptio placentae is a likely complication, as it is characterized by continuous abdominal pain and dark red vaginal bleeding and a board-like abdomen. The nurse should identify abruptio placentae as a life-threatening condition that involves the premature separation of the placenta from the uterine wall and can cause fetal distress and maternal hemorrhagE.

Choice D: Placenta previa is not a likely complication, as it is characterized by painless bright red vaginal bleeding and a soft and relaxed uterus. The nurse should identify placenta previa as a condition that involves the abnormal implantation of the placenta near or over the cervical os and can cause fetal hypoxia and maternal hemorrhagE.

Choice A: Applying lotion to the newborn's skin twice per day is not an appropriate action, as it can interfere with the effectiveness of phototherapy and increase the risk of skin irritation and infection. The nurse should avoid using any creams, oils, or lotions on the newborn's skin during phototherapy.

Choice B: Maintaining the newborn in a prone position is not an appropriate action, as it can increase the risk of suffocation and aspiration. The nurse should position the newborn on the back or the side and rotate the position every 2 to 4 hours to expose different areas of the skin to the light.

Choice C: Encouraging the newborn to breastfeed every 2 hours is an appropriate action, as it helps prevent dehydration and maintain adequate nutrition and hydration. The nurse should also monitor the newborn's weight, intake, and output and supplement with formula or intravenous fluids if needeD.

Choice D: Monitoring the newborn's blood glucose level hourly is an appropriate action, as it helps detect and treat hypoglycemia, which can occur due to increased metabolic rate and decreased caloric intakE. The nurse should also monitor the newborn's bilirubin level, hematocrit, and electrolytes and report any abnormal findings.