A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
A.
Large for gestational age
B.
Hyperglycemia
C.
Bradypnea
D.
Vomiting
The Correct Answer and Explanation is:
The correct answer is D. Vomiting.
Explanation:
Selective serotonin reuptake inhibitors (SSRIs) are a class of medications commonly prescribed to treat depression and anxiety disorders. When a pregnant client takes SSRIs, there is a potential for the newborn to experience withdrawal symptoms or other complications related to in-utero exposure. These withdrawal symptoms are sometimes referred to as neonatal withdrawal syndrome or persistent pulmonary hypertension of the newborn (PPHN), among other conditions.
Manifestations of SSRI Withdrawal:
- Vomiting: One of the common signs of SSRI withdrawal in newborns is vomiting. This symptom can be indicative of gastrointestinal distress or withdrawal from the medication. Neonatal withdrawal symptoms can include gastrointestinal issues like vomiting and diarrhea. These symptoms result from the infant’s adjustment to the absence of the medication after birth.
- Large for Gestational Age: Being large for gestational age (LGA) is not typically associated with SSRI withdrawal. LGA is more commonly related to maternal diabetes or excessive weight gain during pregnancy rather than medication exposure.
- Hyperglycemia: Hyperglycemia, or high blood sugar, is not a recognized symptom of SSRI withdrawal in newborns. It is more commonly associated with conditions such as maternal diabetes or endocrine disorders, rather than SSRI exposure.
- Bradypnea: Bradypnea, or abnormally slow breathing, is not a typical symptom of SSRI withdrawal. However, respiratory issues can be observed in other conditions or complications, such as respiratory distress syndrome or other perinatal problems.
Additional Considerations:
Newborns exposed to SSRIs in utero may also present with other signs such as irritability, jitteriness, poor feeding, and sleep disturbances. It is crucial for nurses to monitor these signs closely and provide appropriate care and support to manage withdrawal symptoms effectively. Early identification and intervention are essential to ensure the newborn’s well-being and to address any complications promptly.