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

Cytomegalovirus (CMV) is a viral infection that can cause serious health problems for newborns if acquired in utero. Some newborns may appear asymptomatic at birth but later develop complications such as hearing loss, intellectual disability, and vision problems. The virus can be transmitted through bodily fluids such as saliva, urine, and breast milk, and can be especially dangerous for premature infants or those with weakened immune systems. While macrosomia (large body size) and urinary tract infections are possible complications in newborns, they are not typically associated with CMV. Cataracts may also occur in infants with congenital CMV, but hearing loss is a more common complication.

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.