During an assessment of an infant born to an intravenous drug abuser, the nurse should recognize which sign(s) and/or symptom(s) as indicative of drug withdrawal?
a. Plethora and a high-pitched, shrill cry
b. Jaundice and sneezing 3 days after delivery
c. Tremor and hyperactive reflexes
d. Restlessness and seedy, yellow-brown stools
ANS: C
Clinical manifestations of withdrawal in a neonate reflect autonomic nervous system hyperirritability, including tremor; restlessness; sneezing; hyperactive reflexes; and a high-pitched, shrill cry. Plethora is typically associated with maternal diabetes. Jaundice is a common finding with hyperbilirubinemia. Seedy, yellow-brown stools are normal for a neonate.
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