A nurse is assisting in planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse recommend?
Avoid swaddling the newborn
Minimize holding the newborn
Decrease environmental noise.
Avoid using a pacifier.
The Correct Answer is C
(a) Avoid swaddling the newborn:
Swaddling is actually beneficial for newborns experiencing neonatal abstinence syndrome. It helps provide comfort and security, reducing irritability and promoting better sleep.
(b) Minimize holding the newborn:
Minimizing holding is not recommended. Holding and gentle handling are important as they provide comfort and can help soothe the newborn. Skin-to-skin contact and gentle rocking are beneficial practices for these infants.
(c) Decrease environmental noise:
Decreasing environmental noise is a key intervention for newborns with neonatal abstinence syndrome. These newborns are often hypersensitive to stimuli, and reducing noise helps create a calming environment that can reduce stress and overstimulation.
(d) Avoid using a pacifier:
Using a pacifier can be helpful for soothing a newborn experiencing neonatal abstinence syndrome. Sucking on a pacifier can provide comfort and help with self-regulation, reducing irritability and distress.
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Related Questions
Correct Answer is C
Explanation
(a) Peanut butter:
Peanut butter is a good source of protein and healthy fats, but it is not particularly high in calcium. While it has some nutritional benefits, it would not significantly contribute to increasing calcium levels.
(b) Avocados:
Avocados are rich in healthy fats, vitamins, and minerals, but they are not a significant source of calcium. They provide numerous other health benefits, but they do not help much with increasing calcium levels.
(c) Yogurt:
Yogurt is an excellent source of calcium. It is highly recommended for individuals needing to increase their calcium intake because it is rich in calcium and also provides protein and probiotics, which are beneficial during pregnancy.
(d) Long-grain rice:
Long-grain rice is a good source of carbohydrates and some vitamins, but it is not a significant source of calcium. Including it in the diet would not effectively help in addressing a low calcium level.
Correct Answer is D
Explanation
(a) Pedal edema
Pedal edema, or swelling of the feet and ankles, is a common finding during pregnancy due to increased fluid retention and pressure on the lower extremities from the growing uterus. While pedal edema should be monitored, it is not typically a concerning finding unless it is severe or accompanied by other symptoms suggestive of preeclampsia.
(b) BP of 132/84 mm Hg
A blood pressure of 132/84 mm Hg is within the normal range for pregnancy. However, if the client's blood pressure continues to increase or is accompanied by other symptoms of hypertension, such as proteinuria or headaches, it may warrant further evaluation.
(c) Weight gain of 1 kg (2.2 lb)
Weight gain during pregnancy is expected and can vary from person to person and from week to week. A weight gain of 1 kg (2.2 lb) over the course of a month is within the normal range for pregnancy and may not require immediate reporting to the provider unless there are other concerning symptoms.
(d) Double vision
Double vision (diplopia) can be a symptom of several conditions, including preeclampsia, which is a serious complication of pregnancy characterized by high blood pressure and proteinuria. Double vision can also be caused by other neurological or ophthalmologic conditions. Given its potential association with preeclampsia and other serious conditions, the nurse should promptly report double vision to the provider for further evaluation and management.
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