Practice Question
There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications are contraindicated for this neonate?
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Correct Answer:
Narcan.
Rationale:
🔴 Narcan (naloxone) is contraindicated in neonates with neonatal abstinence syndrome (NAS) because it can precipitate acute and severe withdrawal symptoms.
🔴 These infants were exposed to opioids in utero, and sudden opioid reversal with naloxone can cause seizures, tremors, and increased irritability.
🔴 Instead, NAS is managed with a gentle weaning process using medications like morphine or methadone, which allow for controlled tapering of withdrawal symptoms.
🔴 Supportive care (swaddling, low-stimulation environment, frequent small feeds) is also vital in the management of NAS.
🔴 Naloxone is only used in neonates for acute opioid overdose when maternal opioid use is not suspected and the risk of withdrawal is low.
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This question is from Maternity exam 3 (Samuel merit University) which contains 46 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: 🤱🏼Maternity & Newborn Care
- Answer Choices: 4