The newborn of a patient suspected to have used drugs during the prenatal period is admitted to the nursery.The nurse caring for the newborn notes that the infant is beginning to exhibit signs of drug withdrawal.Which action should the nurse take?

Maintain the newborn in a reverse Trendelenburg position.

Encourage family members to gently stroke the newborn’s face and head.

Swaddle the newborn in a flexed position.

Provide the newborn with visual stimulation.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Swaddle the newborn in a flexed position. This helps to reduce the symptoms of neonatal abstinence syndrome, which is what happens when babies are exposed to drugs in the womb before birth and go through drug withdrawal after birth. Swaddling can provide comfort, warmth, and security to the newborn and decrease their stress response.

Choice A is wrong because maintaining the newborn in a reverse Trendelenburg position does not help with drug withdrawal symptoms and may increase the risk of aspiration or reflux.

Choice B is wrong because gently stroking the newborn’s face and head may overstimulate the newborn and worsen their irritability and tremors.

Choice D is wrong because providing the newborn with visual stimulation may also overstimulate the newborn and increase their discomfort and agitation.

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Correct Answer is C

Explanation

The correct answer is choice C. Ask what the patient ate and drank within the last day or two.This is because the nurse needs to assess the patient’s current nutritional status and eating habits before providing any education or advice.The nurse can then tailor the counseling to the patient’s specific needs and preferences.

Choice A is wrong because it is not the first action that the nurse should take.While it is important to explain the importance of adequate nutrition for the patient’s own growth and development, this should be done after assessing the patient’s current situation.

Choice B is wrong because it is not the first action that the nurse should take.While it is important to explain the relationship between the patient’s eating habits and fetal development, this should be done after assessing the patient’s current situation.

Choice D is wrong because it is not the first action that the nurse should take.While it is important to discuss with the patient the basic nutritional requirements of pregnancy, this should be done after assessing the patient’s current situation.

The normal ranges for nutritional intake during pregnancy vary depending on the age, weight, activity level, and health status of the patient.

However, some general guidelines are:

• Increase calorie intake by about 300 calories per day

• Increase protein intake by about 25 grams per day

• Increase calcium intake by about 1000 milligrams per day

• Increase iron intake by about 27 milligrams per day

• Increase folic acid intake by about 600 micrograms per day

• Increase fluid intake by about 8 to 10 cups per day

A. "The discharge that you are describing is normal at this time." B. "Have you been running a fever?". C. “It sounds as if you have begun to ovulate again." D. "Are you taking iron supplements?".

Correct Answer is A

Explanation

The correct answer is choice A: “The discharge that you are describing is normal at this time.” This is because the client is experiencing lochia serosa, which is a brownish discharge that occurs from about day 4 to day 10 postpartum.

Lochia serosa is composed of old blood, serum, leukocytes, and tissue debris.

It indicates that the placental site is healing and the uterus is involuting.

Choice B is wrong because fever is a sign of infection, not normal lochia.

Choice C is wrong because ovulation usually does not resume until 6 weeks postpartum for nonbreastfeeding women and later for breastfeeding women.

Choice D is wrong because iron supplements do not affect lochia color or amount.

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The newborn of a patient suspected to have used drugs during the prenatal period is admitted to the nursery.The nurse caring for the newborn notes that the infant is beginning to exhibit signs of drug withdrawal.Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares to counsel a 14-year-old patient who is 16 weeks pregnant regarding nutrition. Which action would be appropriate for the nurse to take first?

Correct Answer is C

Explanation

A client who is two weeks postpartum calls the office and tells a nurse, "l am having a small amount of brownish discharge from my vagina." Which response is appropriate for the nurse to make?

Correct Answer is A

Explanation

A 14-year-old patient visits the antepartal clinic because she has missed three menstrual periods.The patient is to have a pelvic examination. In addition to explaining the procedure, which measure would best help reduce the patient’s anxiety?

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A nurse is caring for a client with postpartum hemorrhage. The provider has ordered Methylergonovine 200 mcg intravenously to be administered stat. The nurse should perform which priority assessment prior to administering this medication?

A 14-year-old patient is 10 weeks pregnant. In order to plan nutritional counseling for this patient, the nurse should have which understanding about adolescents’ nutritional needs during pregnancy?

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