A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Excessive crying

Decreased muscle tone

Absent Moro reflex

Diminished deep tendon reflexes

Answer and Explanation

The Correct Answer is A

Rationale:

A. Excessive crying:

Correct answer. Neonatal abstinence syndrome (NAS) often presents with irritability, inconsolable crying, and difficulty soothing.

B. Decreased muscle tone: NAS can cause hypertonia or increased muscle tone rather than decreased muscle tone.

C. Absent Moro reflex: NAS may cause hyperactive Moro reflex rather than absent.

D. Diminished deep tendon reflexes: NAS can cause hyperactive deep tendon reflexes rather than diminished.

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Correct Answer is B

Explanation

A. Dinoprostone vaginal inserts (e.g., Cervidil) should be kept frozen until use and do not require thawing or warming before insertion. Allowing the medication to reach room temperature is unnecessary and could compromise its stability and effectiveness.

B. Verifying that informed consent is obtained is essential before administering dinoprostone. The client must understand the purpose, potential risks, and alternatives to labor induction, ensuring ethical and legal standards are met.

C. Semi-Fowler’s positioning may be used during labor but is not a priority immediately after insertion. Positioning is secondary to consent and safety considerations.

D. Instructing the client to avoid urinary elimination is not required for dinoprostone administration and does not impact the safety or effectiveness of labor induction.

A. Vacuum-assisted delivery B. History of human papillomavirus C. History of uterine atony D. Labor induction with oxytocin E. Newborn weight 2.948 kg (6 lb 8 oz)

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Vacuum-assisted delivery increases the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterus.

B. A history of human papillomavirus is not directly associated with an increased risk of postpartum hemorrhage.

C. A history of uterine atony (inability of the uterus to contract effectively after delivery) is a significant risk factor for postpartum hemorrhage.

D. Labor induction with oxytocin can lead to uterine hyperstimulation or tetanic contractions, which may contribute to uterine atony and postpartum hemorrhage.

E. Newborn weight is not a risk factor for postpartum hemorrhage.

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A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago.Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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