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

A.

Weak cry.

B.

Decreased muscle tone.

C.

Exaggerated Moro reflex.

D.

Consoles easily.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

A weak cry is not a typical manifestation of neonatal abstinence syndrome (NAS). NAS usually presents with a high-pitched, persistent cry due to central nervous system irritability.

 

Choice B rationale

 

Decreased muscle tone is not common in NAS. Infants with NAS often exhibit hypertonia, characterized by increased muscle tone and rigidity.

 

Choice C rationale

 

This statement is correct because an exaggerated Moro reflex is a common sign of NAS, indicating central nervous system hyperactivity in response to withdrawal from maternal drugs.

 

Choice D rationale

 

An infant with NAS does not console easily. They are often difficult to soothe due to irritability and discomfort from withdrawal symptoms. .

 


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Each feeding should last between 20 and 30 minutes to ensure the baby gets enough nutrition and to facilitate bonding time.

Choice B rationale

Prepared formula should be used within 24 hours if stored in the refrigerator, not 5 days, to prevent bacterial growth and ensure the baby's safety.

Choice C rationale

Formula left at room temperature should not be refrigerated for reuse; it can develop bacteria that may harm the baby.

Choice D rationale

It is recommended to burp the baby multiple times during feeding to release swallowed air and prevent discomfort or spitting up.

Correct Answer is A

Explanation

Choice A rationale

Deep-vein thrombosis (DVT) is a contraindication for diaphragm use due to the increased risk of thromboembolic events with estrogen-based contraceptives.

Choice B rationale

Tobacco use, although a risk factor for cardiovascular disease, is not a direct contraindication for diaphragm use, which is a non-hormonal contraceptive method.

Choice C rationale

Recurrent urinary tract infections are a contraindication for diaphragm use due to the risk of infection exacerbation from device insertion.

Choice D rationale

History of positive group B streptococcus B-hemolytic is not a contraindication for diaphragm use; it typically relates to pregnancy and neonatal infection risk.

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