A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

Weigh the newborn's wet diaper.

Auscultate the newborn's bowel sounds.

Determine the newborn's respiratory rate.

Swaddle the newborn in blankets.

Answer and Explanation

The Correct Answer is C

A.   weighing the newborn's wet diaper, is a routine part of newborn care but is not the first priority in this situation.
B.   auscultating the newborn's bowel sounds, is important for assessing gastrointestinal function but is not the first priority when the baby is at risk for respiratory distress.
C.   Neonatal abstinence syndrome (NAS) is a condition that occurs in newborns who were exposed to addictive substances in utero. One of the key concerns in NAS is respiratory distress, so determining the newborn's respiratory rate is the first priority.
D.   swaddling the newborn in blankets, is a comfort measure but does not address the immediate concern of assessing respiratory status in a baby with suspected NAS.

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Correct Answer is A

Explanation

A. Ice packs can help reduce swelling and inflammation associated with engorgement by constricting blood vessels and reducing blood flow to the area, which can alleviate pain and discomfort.
B. Avoiding the use of a breast pump may exacerbate engorgement. It is appropriate to use a pump if needed for comfort or to facilitate breastfeeding.
C. While purified lanolin can help soothe sore nipples, it does not address the inflammation and swelling of engorgement.
D. A well-fitting, supportive bra is important, but it should not be too tight. It should provide adequate support without constricting the breasts.

A. An increase in platelet count B. A decrease in blood pressure C. A decrease in FHR D. An increase in urinary output

Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

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A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

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