When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?

Sleepiness

Constipation

Irritability

Absent or startle reflex

Answer and Explanation

The Correct Answer is C

Choice A reason:

Sleepiness is not a symptom of withdrawal in newborns. Sleepiness may be caused by other factors such as hypoglycemia, hypothermia, or infection.

Choice B reason:

Constipation is not a symptom of withdrawal in newborns. Constipation may be caused by dehydration, formula intolerance, or lack of bowel stimulation.

Choice C reason:

Irritability is a symptom of withdrawal in newborns. Irritability may manifest as excessive crying, jitteriness, tremors, or increased muscle tone. Irritability is caused by the overstimulation of the central nervous system due to the absence of the drug that the newborn was exposed to in utero.

Choice D reason:

Absent or startle reflex is not a symptom of withdrawal in newborns. Absent or startle reflex may indicate neurological damage, hypoxia, or brachial plexus injury. The startle reflex, also known as the Moro reflex, is a normal response to sudden stimuli in newborns.

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Correct Answer is ["B","D","F","H"]

Explanation

Choice A reason
Blood pressure is not a priority finding for a newborn with neonatal abstinence syndrome (NAS). Blood pressure is usually normal or slightly elevated in NAS, and it is not a reliable indicator of the severity of withdrawal symptoms.
Choice B reason
Gastrointestinal disturbances are a common and serious finding for a newborn with NAS. Vomiting and diarrhea can lead to dehydration, electrolyte imbalance, and poor weight gain. Projectile vomiting can also increase the risk of aspiration. This finding requires immediate follow-up and intervention.
Choice C reason
Skin color is not a priority finding for a newborn with NAS. Acrocyanosis (bluish color of the hands and feet) is a normal finding in newborns and does not indicate hypoxia or poor circulation. It usually resolves within the first few days of life.
Choice D reason
NAS score is not a priority finding for a newborn with NAS. NAS score is a tool used to assess the severity of withdrawal symptoms and the need for pharmacological treatment. It is based on a set of clinical signs and symptoms that are scored at regular intervals. However, it is not a substitute for clinical judgment and individualized care. The NAS score alone does not determine the urgency of follow-up.
Choice E reason
Temperature is not a priority finding for a newborn with NAS. Temperature may be slightly elevated or normal in NAS, and it is not a specific sign of infection or withdrawal. Temperature regulation is important for newborns, but it is not an immediate concern in this case.
Choice F reason
Oxygen saturation is a priority finding for a newborn with NAS. Tachypnea (rapid breathing) and retractions (inward movement of the chest wall) are signs of respiratory distress, which can compromise oxygen delivery to the tissues and organs. Hypoxia (low oxygen level) can cause brain damage, organ failure, and death if not corrected promptly. This finding requires immediate follow-up and intervention.
Choice G reason
Central nervous system disturbances are a priority finding for a newborn with NAS. Increased muscle tone, tremors, high-pitched cry, and seizures are signs of neurological dysfunction,which can indicate brain injury, bleeding, or infection. Seizures can also worsen hypoxia and metabolic acidosis. This finding requires immediate follow-up and intervention.
Choice H reason
Respiratory rate is not a priority finding for a newborn with NAS. Respiratory rate may be increased or normal in NAS, and it is not a specific sign of respiratory distress or infection. Respiratory rate should be monitored along with other vital signs.

A. Moro B. Rooting C. Gag D. Running E. Babinski F. Stepping G. Crawling Reflex H. Standing with Support I. Pincer Grasp

Correct Answer is ["A","B","C","E","F"]

Explanation

Choice A reason:

Moro is a newborn reflex that occurs when the baby is startled by a loud sound or movement. The baby will cry, throw back his or her head, and then pull his or her limbs into the body. This reflex lasts until the baby is about 2 months old.

Choice B reason:

Rooting is a newborn reflex that starts when the corner of the baby's mouth is stroked or touched. The baby will turn his or her head and open his or her mouth to follow and root in the direction of the stroking. This helps the baby find the breast or bottle to start feeding. This reflex lasts about 4 months.

Choice C reason:

Gag is a newborn reflex that prevents the baby from choking on foreign objects. The baby will cough, gag or spit out anything that touches the back of the throat or the roof of the mouth. This reflex is present throughout life.

Choice D reason:

Running is not a newborn reflex. It is a voluntary movement that develops later in childhood. Choice E reason:

Babinski is a newborn reflex that occurs when the sole of the foot is stroked from heel to toe. The baby will fan out and curl up the toes and twist the foot inward. This reflex lasts until the baby is about 12 months old.

Choice F reason:

Stepping is a newborn reflex that occurs when the baby is held upright with his or her feet touching a solid surface. The baby will appear to take steps or dance. This reflex lasts about 2 months.

Choice G reason:

The crawling reflex is a developmental milestone observed in infants around 6-8 months of age. It involves the baby moving on their hands and knees, often starting with a belly-crawling motion. Unlike newborn reflexes, this skill is learned and requires muscle coordination and strength.

Choice H reason:

Standing with support is a developmental milestone typically achieved by infants around 9-12 months. In this skill, the baby pulls themselves up to a standing position while holding onto furniture or a caregiver’s hands. It is a learned behavior reflecting increased muscle strength and balance, distinct from newborn reflexes.

Choice I reason:

The pincer grasp is a fine motor skill that usually develops between 8-12 months. It involves the baby using the thumb and index finger to pick up small objects. This ability is not a reflex but a learned skill that demonstrates improved hand-eye coordination and dexterity.

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When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Exhibits Which of the following data collection findings should the nurse identify as requiring immediate follow- up? (Select all that apply.).

Correct Answer is ["B","D","F","H"]

Explanation

The names of the newborn reflexes are? Select all that apply. (Select All that Apply.)

Correct Answer is ["A","B","C","E","F"]

Explanation

The nurse notes that a newborn's white blood cell count (WBC) is 15,000. The nurse is aware that:.

A nurse is assisting in the care of a newborn who is 72 hr old and is receiving treatment for neonatal abstinence syndrome. Exhibits Which of the following data collection findings should the nurse identify as requiring immediate follow-up? (Select all that apply.).

A breastfed newborn has just been diagnosed with galactosemia. The therapeutic management for this newborn is to:

Which assessment findings may cause the nurse to suspect a brachial plexus injury?

When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?

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