When observing a drug-exposed newborn, what symptom suggests that the newborn may be exhibiting withdrawal symptoms?
Sleepiness
Constipation
Irritability
Absent or startle reflex
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A reason:
Discard unused formula in used bottle after 2 hours. This is correct because bacteria can grow in the formula if it is left at room temperature for too long. The formula that has been in contact with your baby's mouth can also become contaminated with saliva or germs.
Choice B reason:
Never prop a bottle. This is correct because propping a bottle can cause choking, ear infections, tooth decay, and overfeeding. It can also deprive your baby of the cuddling and bonding that they need during feeding time.
Choice C reason:
The formula is available in three forms. This is correct because the formula comes in ready-to-use, concentrated liquid, and powder forms. Each form has its own advantages and disadvantages in terms of cost, convenience, and storage.
Choice D reason:
Warm the bottle in the microwave. This is incorrect because microwaving a bottle can create hot spots that can burn your baby's mouth or throat. It can also damage the nutrients in the formula. The safest way to warm a bottle is to place it in a bowl of warm water or run it under warm tap water.
Choice E reason:
Store prepared bottles in the refrigerator. This is correct because refrigerating prepared bottles can prevent bacterial growth and keep the formula fresh. However, you should not keep prepared bottles for more than 24 hours and you should always check the expiration date on the formula container.
Correct Answer is C
Explanation
Choice A reason:
Hypertonia is not a characteristic of a preterm infant, but rather of a post-term infant. Hypertonia means increased muscle tone or stiffness, which is more common in infants who are overdue. Preterm infants have poor muscle tone and less subcutaneous fat.
Choice B reason:
Long toenails are also not a characteristic of a preterm infant but of a post-term infant. Long toenails indicate that the infant has grown beyond the expected gestational age. Preterm infants have short and brittle nails.
Choice C reason:
Lanugo is a characteristic of a preterm infant. Lanugo is fine, downy hair that covers the body of the fetus. It usually disappears by the 36th week of gestation, but preterm infants may still have it at birth.
Choice D reason:
Dry skin is not a characteristic of a preterm infant but of a post-term infant. Dry skin indicates that the infant has lost moisture and subcutaneous fat due to prolonged exposure to the amniotic fluid. Preterm infants have thin and transparent skin that may be covered by vernix caseosa, a white, cheesy substance that protects the skin from the amniotic fluid.
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