Concerning the understanding and treatment of infants born to mothers who are substance abusers, nurses should be aware that:
1. infants born to addicted mothers are also addicted.
2. mothers who abuse one substance likely will use or abuse another, compounding infant difficulties.
3. the NICU Network Neurobehavioral Scale (NNNS) is designed to assess the damage the mother has done to herself.
4. there are no laboratory procedures to identify the intrauterine drug exposure of the infant.
2
1. Incorrect. Infants of substance-abusing mothers may have some of the physiologic signs but are not addicted in the behavioral sense. "Drug-exposed newborn" is a more accurate de-scription than "addict.".
2. Correct. Multiple substance use (even just alcohol and tobacco) makes it difficult to as-sess the problems of the exposed infants, particularly concerning withdrawal manifestations.
3. Incorrect. The NNNS is designed to assess the neurologic, behavioral, and stress/abstinence function of the neonate.
4. Incorrect. Newborn urine, hair, or meconium sampling may be used to identify an infant's intrauterine drug exposure.
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