A nurse is caring for a newborn who is 5 days old.
Medical History<\/p>\n\n\n\n
History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS).<\/p>\n\n\n\n
Which of the following actions should the nurse take? Select all that apply.<\/p>\n\n\n\n
A.
Maintain a low stimulation environment.<\/p>\n\n\n\n
B.
Plan to administer naloxone.<\/p>\n\n\n\n
C.
Instruct the parent to avoid breastfeeding<\/p>\n\n\n\n
D.
Instruct the parent to avoid eye contact with the newborn during feeding<\/p>\n\n\n\n
E.
Perform Ballard newborn screening each shift.<\/p>\n\n\n\n
F.
Weigh the newborn daily.<\/p>\n\n\n\n
G.
Swaddle the newborn with flexed extremities<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n For a newborn exhibiting clinical findings of Neonatal Abstinence Syndrome (NAS) following maternal opioid use, the following actions are appropriate:<\/p>\n\n\n\n A. Maintain a low stimulation environment.<\/strong> A. Maintain a low stimulation environment:<\/strong> Newborns with NAS are often sensitive to environmental stimuli, which can exacerbate their symptoms. A low stimulation environment helps minimize stress and discomfort for the baby. This includes reducing noise, dimming lights, and minimizing handling, which can help the newborn remain calm and reduce the severity of withdrawal symptoms.<\/p>\n\n\n\n F. Weigh the newborn daily:<\/strong> Regular monitoring of the newborn\u2019s weight is crucial in managing NAS. Weight loss can indicate inadequate feeding or other complications, and daily weights help track the baby\u2019s growth and nutritional status. Accurate monitoring allows for timely intervention if the newborn is not gaining weight appropriately.<\/p>\n\n\n\n G. Swaddle the newborn with flexed extremities:<\/strong> Swaddling the newborn with flexed extremities can provide comfort and mimic the feeling of being in the womb. This technique can help reduce the symptoms of NAS, such as tremors and irritability. Flexed positioning can also help the baby feel more secure and less agitated.<\/p>\n\n\n\n B. Plan to administer naloxone:<\/strong> Naloxone is an opioid antagonist used to reverse opioid overdose. It is not appropriate for NAS because the condition results from chronic opioid exposure rather than an acute overdose. NAS treatment focuses on supportive care and symptom management rather than opioid reversal.<\/p>\n\n\n\n C. Instruct the parent to avoid breastfeeding:<\/strong> Breastfeeding is generally encouraged unless contraindicated. Maternal methadone use does not usually require cessation of breastfeeding. In fact, breastfeeding can help with NAS management, as it provides nutrition and comfort. The benefits of breastfeeding typically outweigh the risks associated with methadone.<\/p>\n\n\n\n D. Instruct the parent to avoid eye contact with the newborn during feeding:<\/strong> Avoiding eye contact is not a standard practice for managing NAS. Eye contact can actually be beneficial for bonding and reassuring the newborn. It\u2019s more important to focus on providing a calm and supportive environment.<\/p>\n\n\n\n E. Perform Ballard newborn screening each shift:<\/strong> The Ballard score assesses gestational age rather than NAS severity. While important for overall assessment, it is not specifically used to manage NAS on each shift. Regular assessments of NAS symptoms and feeding are more relevant.<\/p>\n\n\n\n Overall, managing NAS involves creating a supportive environment, monitoring the baby\u2019s growth, and providing comfort measures like swaddling. The approach focuses on easing withdrawal symptoms and ensuring the newborn\u2019s well-being.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is caring for a newborn who is 5 days old.Medical History History of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy. Maternal and neonatal positive urine drug screens for methadone. Newborn is exhibiting clinical findings of neonatal abstinence syndrome (NAS). Which of the following actions should the nurse take? 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F. Weigh the newborn daily.<\/strong>
G. Swaddle the newborn with flexed extremities.<\/strong><\/p>\n\n\n\nExplanation:<\/h3>\n\n\n\n
Actions Not Recommended:<\/h3>\n\n\n\n