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

Answer and Explanation

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.

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Correct Answer is D

Explanation

The nurse should inform the client that an amniocentesis is a diagnostic test used to identify genetic or congenital disorders and is not performed solely to determine the sex of the fetus. Therefore, the appropriate response by the nurse would be, "This procedure determines if your baby has genetic or congenital disorders."

Amniocentesis is an invasive procedure that carries a small risk of miscarriage, and it is typically offered to women who are at increased risk of having a baby with a genetic or chromosomal disorder. It is not routinely performed solely for the purpose of determining the sex of the fetus. Therefore, the nurse should educate the client about the purpose and risks of the procedure before the client decides to proceed with the test.

A. "Transmission can occur via the saliva and urine of the newborn." B. "This infection requires that airborne precautions be initiated for the newborn." C. "Mothers will receive prophylactic treatment with acyclovir prior to delivery." D. “Lesions are visible on the mother's genitalia."

Correct Answer is A

Explanation

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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