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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When a client is receiving magnesium sulfate by continuous IV infusion for preterm labor, it is important for the nurse to review the serum medication level to ensure that the client is receiving an appropriate dose and to monitor for signs of magnesium toxicity.
Choice A is not an answer because an indirect Coombs test is used to detect antibodies against red blood cells and is not relevant to magnesium sulfate therapy.
Choice C is not an answer because liver enzymes are not directly relevant to magnesium sulfate therapy.
Choice D is not an answer because uric acid levels are not directly relevant to magnesium sulfate therapy.
Correct Answer is A
Explanation
It is important for the nurse to verify that informed consent has been obtained before administering any medication or treatment.
Choice B is incorrect because there is no need for the client to avoid urinary elimination prior to administration of a dinoprostone insert.
Choice C is incorrect because there is no need to allow the medication to reach room temperature prior to administration.
Choice D is incorrect because there is no need for the client to be placed in a semi-Fowler’s position after administration of a dinoprostone insert.
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