A nurse is assessing a newborn who was exposed to cocaine in utero.
Which of the following findings should the nurse expect?

Hypotonicity.

High-pitched cry.

Increased head circumference.

Decreased startle response.

Answer and Explanation

The Correct Answer is B

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as well as other symptoms such as irritability, tremors, and feeding difficulties.

Choice A is not an answer because hypotonicity is not a common ﬁnding in newborns exposed to cocaine in utero.

Choice C is not an answer because increased head circumference is not a common ﬁnding in newborns exposed to cocaine in utero.

Choice D is not an answer because decreased startle response is not a common ﬁnding in newborns exposed to cocaine in utero.

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Correct Answer is D

Explanation

Do not retract the foreskin to clean your baby’s penis during each diaper change.

The foreskin should not be retracted for cleaning during infancy.

Choice A is incorrect because you should clean around the umbilical cord stump with plain water and blot dry until it falls oﬀ naturally.

Choice B is incorrect because swaddling a baby tightly with their legs extended is not recommended.

Choice C is incorrect because a newborn should urinate at least six times a day.

Correct Answer is ["1227"]

Explanation

Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).

It involves adding seven days and subtracting three months from the ﬁrst day of the LMP.

It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for diﬀerent women 1.

Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.

Subtracting three months would give December 27 of the previous year.

Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.

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A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home. Which of the following statements should the nurse make to the client?

Correct Answer is D

Explanation

A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

Correct Answer is ["1227"]

Explanation

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A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

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A nurse is assessing a newborn who was exposed to cocaine in utero.
Which of the following findings should the nurse expect?