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Practice Question

A nurse is caring for a newborn client. The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea. What condition does the nurse suspect?

Answer Choices:

Correct Answer:

Neonatal abstinence syndrome.

Rationale:

🔷 The combination of high-pitched cry, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea is classic for neonatal abstinence syndrome (NAS).

🔷 NAS results from intrauterine exposure to opioids or other substances, leading to withdrawal symptoms after birth.

🔷 These signs reflect autonomic dysregulation, gastrointestinal upset, and central nervous system irritability.

🔷 Management includes non-pharmacological soothing strategies and, in some cases, pharmacologic interventions like morphine or methadone.

🔷 Early identification ensures appropriate supportive care and monitoring to prevent complications like seizures or dehydration.

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This question is from RN ATI Maternal Newborn Final Exam~mso which contains 46 questions.

More Questions from This Exam
A nurse is caring for a newborn and observes signs of diaphoresis, jitteriness, and lethargy. Which of the following actions should the nurse take?

Answer Choices:

A. Monitor the newborn's blood pressure.
B. Obtain blood glucose by heel stick.
C. Place the newborn in a radiant warmer.
D. Initiate phototherapy.
A nurse is caring for four newborns in a special care nursery. Which of the following newborn assessment findings requires immediate intervention?

Answer Choices:

A. Blue coloring of the hands and feet in an 8-hour-old newborn.
B. Small raised pearly spots on the newborn's nose.
C. Apical heart rate of 140 bpm.
D. Nasal flaring and grunting.
You admitted a client who experienced a precipitous labor. What is the highest concern for maternal complication related to this type of labor?

Answer Choices:

A. Increased risk for an operative delivery.
B. Increased risk for postpartum hemorrhage (PPH).
C. Decreased risk tor vaginal laceration.
D. Increased risk for neonatal sepsis.
From Exam
RN ATI Maternal Newborn Final Exam~mso

46 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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