Your patient presents to labor and delivery with opioid use disorder and is taking methadonE. The best treatment for her baby that will develop neonatal abstinence syndrome is:

Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimulI.

Use only pharmacological agents for withdrawal.

Keep the baby and mother together, promoting bonding and providing support and resources for dischargE.

Separate the baby from the mother and tell the social worker to contact child protection services.

Answer and Explanation

The Correct Answer is C

Choice A: Do not use even soft lullaby music or cuddler therapy for this neonate as it will increase stimuli is not a correct option, as it contradicts the evidence-based practice of providing a calm and quiet environment for the neonate with neonatal abstinence syndromE. Music and cuddler therapy can help soothe the neonate and reduce the need for pharmacological agents.

Choice B: Use only pharmacological agents for withdrawal is not a correct option, as it ignores the non-pharmacological interventions that can help the neonate with neonatal abstinence syndromE. Non-pharmacological interventions include swaddling, breastfeeding, skin-to-skin contact, and rooming-in with the mother.

Choice C: Keep the baby and mother together, promoting bonding and providing support and resources for discharge is the correct option, as it supports the family-centered care and the recovery of the mother and the neonate with neonatal abstinence syndromE. Keeping the baby and mother together can improve the maternal-infant attachment, facilitate breastfeeding, and reduce the length of hospital stay and the need for pharmacological agents.

Choice D: Separate the baby from the mother and tell the social worker to contact child protection services is not a correct option, as it violates the ethical and legal principles of nursing practice and the rights of the mother and the neonate with neonatal abstinence syndromE. Separating the baby from the mother can increase the stress and anxiety of both parties and interfere with the bonding and breastfeedinG. The nurse should collaborate with the social worker and other health care professionals to provide a safe and supportive environment for the mother and the neonatE.

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Correct Answer is C

Explanation

A. Elevated liver function tests B. Unremitting headache C. Rising protein in sequential 24-hour urine D. Increased urine output E. Pain in the left upper quadrant F. BP > 160/110

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

Explanation

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

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Your patient presents to labor and delivery with opioid use disorder and is taking methadonE. The best treatment for her baby that will develop neonatal abstinence syndrome is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?

Correct Answer is C

Explanation

Signs and symptoms of preeclampsia with severe features include (Select all that apply):

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

Explanation

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor.Which of the following findings confirm that the client is in labor? (Select all that apply):

A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 100 beats/min. Which of the following actions should the nurse take first?

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A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):

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