A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?<\/p>\n\n\n\n
A.
Hypotonicity.<\/p>\n\n\n\n
B.
Moderate tremors of the extremities.<\/p>\n\n\n\n
C.
Axillary temperature 36.1\u00b0C (96.9\u00b0F)<\/p>\n\n\n\n
D.
Excessive sleeping.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. Moderate tremors of the extremities.<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Newborns who experience opioid withdrawal, often referred to as neonatal abstinence syndrome (NAS), exhibit a range of symptoms due to the effects of opioid exposure in utero. Opioid withdrawal in newborns is characterized by a set of physical and behavioral signs that can vary in severity.<\/p>\n\n\n\n 1. Moderate Tremors of the Extremities:<\/strong> Tremors or jitteriness are classic signs of opioid withdrawal in newborns. These tremors are usually observed in the extremities and can be moderate to severe. Tremors occur as a result of the central nervous system being overstimulated after birth, as the infant’s body adjusts to the absence of opioids. These tremors may be more noticeable when the infant is disturbed or agitated.<\/p>\n\n\n\n 2. Hypotonicity:<\/strong> Hypotonicity, or decreased muscle tone, is not typically associated with opioid withdrawal. Instead, opioid withdrawal often leads to increased muscle tone and hyperactivity, rather than decreased tone. Hypotonicity is more commonly observed in other conditions, such as certain congenital disorders or neurological issues, but not specifically in opioid withdrawal.<\/p>\n\n\n\n 3. Axillary Temperature 36.1\u00b0C (96.9\u00b0F):<\/strong> While a low axillary temperature (hypothermia) can be a sign of withdrawal, it is not as specific or characteristic as other symptoms such as tremors. Newborns with opioid withdrawal might experience temperature regulation issues, but this symptom is not as definitive for diagnosis as tremors.<\/p>\n\n\n\n 4. Excessive Sleeping:<\/strong> Opioid withdrawal often results in the opposite effect\u2014excessive irritability and difficulty sleeping. Newborns with NAS may have trouble settling and may show signs of insomnia or frequent waking rather than excessive sleeping.<\/p>\n\n\n\n In summary, among the options provided, moderate tremors of the extremities are the most indicative of opioid withdrawal in a newborn. This symptom aligns well with the neurological disturbances seen in NAS and is commonly used in clinical assessments to monitor and manage withdrawal symptoms in affected infants.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect? A.Hypotonicity. B.Moderate tremors of the extremities. C.Axillary temperature 36.1\u00b0C (96.9\u00b0F) D.Excessive sleeping. The Correct Answer and Explanation is: The correct answer is B. Moderate tremors of the extremities. Explanation: Newborns […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137893","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137893","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137893"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137893\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}