Practice Question
A nurse is caring for a newborn who is 5 days old.
Answer Choices:
Correct Answer:
Swaddle the newborn with flexed extremities.
Rationale:
Swaddle the newborn with flexed extremities
💎Swaddling with flexed extremities promotes comfort, warmth, and security, helping to decrease hyperactivity and tremors in infants with NAS.
💎The flexed position mimics the in-utero environment and can reduce the high-pitched crying and sleep disturbances common in NAS.
💎This also helps prevent startle responses from the hyperactive Moro reflex, improving rest periods.
Weigh the newborn daily
💎Infants with NAS are at risk for poor feeding, uncoordinated suck-swallow, vomiting, and diarrhea, all of which can lead to weight loss and failure to thrive.
💎Daily weights allow for early detection of nutritional deficits and the need for feeding interventions or supplementation.
💎Weight monitoring also helps evaluate the effectiveness of comfort and feeding strategies.
Maintain a low stimulation environment
💎Newborns with NAS have exaggerated responses to sensory input; excessive light, sound, and handling can worsen irritability and autonomic instability.
💎Low lighting, minimal noise, and gentle handling reduce stress, promote rest, and decrease the frequency of tremors and crying episodes.
💎A calm environment also supports improved feeding coordination.
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This question is from RN Maternal Newborn 2023 Exam which contains 69 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 7