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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is A
Explanation
B. Report the client's temperature elevation. This is not a priority action because the client's temperature is only slightly elevated and could be due to dehydration or normal postpartum changes. The nurse should monitor the temperature and report it if it persists or increases.
C. Increase IV fluids. This is not an appropriate action because the client's vital signs are stable and there is no evidence of excessive blood loss or shock. Increasing IV fluids could cause fluid overload or interfere with breastfeedinG.
D. Encourage the client to nurse more frequently so her milk will come in. This is not a relevant action because the client's breasts are soft, indicating that the milk has not come in yet. Nursing more frequently will not hasten the onset of lactation and could cause nipple soreness or engorgement. The nurse should support the client's breastfeeding efforts and provide education on proper latch and positioninG.
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