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. Maternal pelvis is gynecoiD. B. Fetal position is persistent occiput posterior. C. Fetal attitude is in general flexion. D. Fetal lie is longitudinal.

Correct Answer is B

Explanation

Choice A: Maternal pelvis is gynecoid is not a contributing factor of difficult, prolonged labor. On the contrary, a gynecoid pelvis is the most favorable shape for vaginal delivery, as it has a round inlet and a wide outlet that can accommodate the fetal heaD.

Choice B: Fetal position is persistent occiput posterior is a contributing factor of difficult, prolonged labor. In this position, the back of the fetal head is against the mother's sacrum, which can cause a poor fit in the pelvis and increase the resistance and the pressure on the maternal tissues. This can result in a longer and more painful labor, often associated with a severe backachE.

Choice C: Fetal attitude is in general flexion is not a contributing factor of difficult, prolonged labor. On the contrary, a general flexion attitude is the most optimal for vaginal delivery, as it allows the smallest diameter of the fetal head to pass through the birth canal.

Choice D: Fetal lie is longitudinal is not a contributing factor of difficult, prolonged labor. On the contrary, a longitudinal lie is the most common and favorable for vaginal delivery, as it means that the long axis of the fetus is parallel to the long axis of the mother.

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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 caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backachE. Which of the following factors is a contributing cause of difficult, prolonged labor?

Correct Answer is B

Explanation

The baby's head is delivered at 0900. The shoulders are not delivered and you notice a turtle sign. Interventions to relieve a dystocia include (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?

A nurse is caring for a client who is at 38 weeks of gestation and has a score of 10 on her biophysical profile. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse make?

Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?