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

Epidural anesthesia can cause hypotension in the mother, which can decrease blood flow to the fetus. Turning the client onto their side can help to improve blood flow to the fetus by reducing the pressure of the uterus on the vena cava and increasing venous return to the heart.

Option B is incorrect because an amnio-infusion is not indicated for hypotension related to epidural anesthesia.

Option C is also incorrect because naloxone is a medication used to reverse the effects of opioid medications and would not be appropriate for treating hypotension related to epidural anesthesia.

Option D is partially correct but does not address the immediate need to improve blood flow to the fetus. The nurse should monitor the client's blood pressure regularly but should also take immediate action to turn the client onto their side to improve blood flow.

A newborn's urine output is a good indicator of hydration status, and it is important to ensure that the newborn is receiving adequate fluid intake. A newborn typically urinates at least 6-8 times a day, so if the newborn urinates less than six times a day, it could indicate dehydration or another issue that requires medical attention.

The nurse should not instruct the client to place triple antibiotic ointment on the baby's umbilical cord, as this can actually delay the healing process and increase the risk of infection. Instead, the nurse should advise the client to keep the umbilical cord clean and dry, and to contact the healthcare provider if there are any signs of infection (such as redness, swelling, or discharge).

The nurse should also not instruct the client to swaddle the baby tightly with his legs extended before laying him down to sleep, as this can increase the risk of hip dysplasia. Instead, the nurse should advise the client to place the baby on his back to sleep, on a firm and flat surface with no soft bedding, toys, or pillows.

Lastly, the nurse should not instruct the client to retract the foreskin to clean the baby's penis during each bath. In fact, the foreskin should never be forcibly retracted in a newborn, as it can cause pain, bleeding, and increase the risk of infection. The nurse should advise the client to simply clean the penis with warm water and mild soap during bath time, without forcibly retracting the foreskin.