A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?
Hypotonicity
Decreased startle response
High-pitched cry
Increased head circumference
The Correct Answer is C
A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as a result of central nervous system irritability. Other possible findings may include hypertonicity, exaggerated startle response, and decreased head circumference. Hypotonicity is not a typical finding in a newborn exposed to cocaine in utero.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Constipation is a common problem for clients who have recently given birth, and suppositories are a common treatment option for constipation. However, suppositories are not appropriate for all clients. Certain conditions can be a contraindication to the use of suppositories, and the nurse should be aware of these conditions.
The nurse should identify that a third-degree perineal laceration is a contraindication to the use of a suppository, as it may cause further trauma to the already injured area. In this case, alternative treatments such as stool softeners or oral laxatives may be more appropriate for the client.
Option A is incorrect because although abdominal distention can be a sign of constipation, it is not a contraindication to the use of a suppository.
Option C is also incorrect because vaginal candidiasis is not a contraindication to the use of a suppository. In fact, suppositories are sometimes used to treat vaginal candidiasis.
Option D is also incorrect because afterpains are not a contraindication to the use of a suppository.
Correct Answer is A
Explanation
Hypovolemic shock is caused by a significant loss of blood or fluids, resulting in decreased tissue perfusion and oxygenation. Cool, clammy skin is a classic symptom of hypovolemic shock, indicating that the body is redirecting blood flow to vital organs. A respiratory rate of18/min is within normal limits. Bounding pulses are associated with conditions such as hyperthyroidism or aortic regurgitation. A urinary output of 30 mL/hr is low, but it is not necessarily indicative of hypovolemic shock on its own.
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