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

Choice A reason:

FAS is caused by alcohol, and NAS is caused by opioids. This is the correct answer because FAS stands for fetal alcohol syndrome, which is a condition that affects the development of a baby when the mother drinks alcohol during pregnancy. NAS stands for neonatal abstinence syndrome, which is a group of problems that can happen when a baby is exposed to opioid drugs for a length of time while in their mother's womb.

Choice B reason:

FAS and NAS are both incurable. This is incorrect because FAS and NAS are not diseases, but conditions that result from prenatal exposure to substances. FAS and NAS can cause various physical, mental, and behavioral problems in the baby, some of which may be permanent, but others may be improved with early intervention and treatment.

Choice C reason:

FAS is caused by analgesics and NAS is caused by NSAIDs. This is incorrect because analgesics are painkillers, and NSAIDs are nonsteroidal anti-inflammatory drugs. Neither of these types of drugs is known to cause FAS or NAS. However, some analgesics, such as codeine and oxycodone, are opioids and can cause NAS if used by pregnant women.

Choice D reason:

FAS and NAS are both curable. This is incorrect because FAS and NAS are not diseases, but conditions that result from prenatal exposure to substances. FAS and NAS can cause various physical, mental, and behavioral problems in the baby, some of which may be permanent, but others may be improved with early intervention and treatment. However, there is no cure for FAS or NAS.

Choice A reason:

Injury sustained to the perineum during birth is not a perinatal injury, but a perineal injury. The perineum is the area between the anus and the genitals, and it can be torn or cut during vaginal delivery. This is a common complication that affects the mother, not the fetus or newborn.

Choice B reason:

Traumatic injury to the mother during pregnancy is not a perinatal injury, but a maternal injury. This can occur due to accidents, violence, or complications of pregnancy such as preeclampsia or placental abruption. This can affect the mother's health and well-being, and may also have consequences for the fetus or newborn.

Choice C reason:

Traumatic injury to a fetus is not a perinatal injury, but a fetal injury. This can occur due to external forces such as blunt trauma, penetrating trauma, or radiation exposure that affect the fetus in utero. This can cause fetal distress, bleeding, fractures, or organ damage.

Choice D reason:

Injury sustained surrounding birth is a perinatal injury. This occurs in the period shortly before, during, or after delivery. This can be a critical time when the baby has to transition from surviving off oxygen, blood, and nutrients from the mother to separating from the womb and breathing oxygen from the air. Perinatal injuries can include head injuries, nerve injuries, hemorrhages, fractures, or soft-tissue injuries that result from the forces of labor and delivery or medical interventions such as forceps or vacuum extraction. Perinatal injuries can lead to long-term neurodevelopmental challenges for the newborn.