A preterm infant is jittery and has an oxygen saturation of 88%. After stabilizing the newborn, what action by the nurse is most important?
A.
Assess the mother for caffeine use during pregnancy.
B.
Assess the mother for opioid use during pregnancy.
C.
Call Child Protective Services (CPS) to take the child away.
D.
Question the father about maternal drug abuse.
ANS: B
Maternal opioid use can lead to neonatal withdrawal syndrome, characterized by hyperirritability, gastrointestinal dysfunction, respiratory distress, and autonomic disturbances. After stabilizing the baby, the nurse should first assess the mother for opioid abuse during pregnancy. Caffeine use would not cause these effects. Calling CPS is premature at this point. Questioning the father is not the best way to determine if the mother has abused drugs.
You might also like to view...
A child in the pediatric intensive care unit has a pulse oximeter for continuous oxygen saturation readings. Which action by the nurse is important for this patient's safety?
A. Calibrate and "zero" the oximeter once per shift. B. Ensure the machine stays plugged in at all times. C. Have maintenance inspect the machine before use. D. Move the oximeter probe to a new site each day.
Why is ketosis rare in clients with type 2 diabetes, even when blood glucose levels are very high (higher than 900 mg/dL)?
A. Ketosis is less prevalent among obese adults. B. People with type 2 diabetes have normal lipid metabolism. C. There is enough insulin produced by type 2 diabetes to prevent fat catabolism but not enough to prevent hyperglycemia. D. Oral antidiabetic agents do not promote the breakdown of fat for fuel (lipolysis), and exogenous insulin spares carbohydrates at the expense of fats.
Melanocyte-stimulating hormone (MSH) is responsible for which of the following signs of pregnancy?
a. Nausea and vomiting b. Feelings of warmth c. Linea nigra d. Breast enlargement
Which of the following is a contraindication to the use of statins?
A. Hypertension B. Active liver disease C. Adults below 25 years of age D. Hyperthyroidism