Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Decreased muscle tone

Exaggerated Moro reflex

Consoles easily

Weak cry

Answer and Explanation

The Correct Answer is B

A.   Decreased muscle tone is not typically associated with neonatal abstinence syndrome.
B.   Exaggerated Moro reflex, which is a startle response that causes the baby to fling their arms and legs out and then curl them in, is a common signof neonatal abstinence
C.   Consoling easily is not a characteristic feature of neonatal abstinence syndrome; these infants are often difficult to console.
D.   A high pitched cry is a common symptom of neonatal abstinence syndrome. A weak cry is not anticipated.

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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.

Correct Answer is ["1123"]

Explanation

- To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months.

- In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23.

- Therefore, the estimated date of birth is 1123.

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Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Correct Answer is ["1123"]

Explanation

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