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 C
Explanation
Retained placental fragments is a risk factor for postpartum hemorrhage. After delivery, the uterus continues to contract to deliver the placenta.
Contractions also help to compress the blood vessels where the placenta was atached to the uterine wall.
Postpartum hemorrhage can happen if parts of the placenta stay atached to the
uterine wall.

Choice A is incorrect because pregnancy-induced hypertension is a risk factor for
postpartum hemorrhage.
Choice B is incorrect because meconium-stained fluid is not mentioned as a risk factor for postpartum hemorrhage in my sources.
Choice D is incorrect because oligohydramnios is not mentioned as a risk factor for postpartum hemorrhage in my sources.
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.
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