The nurse is admitting a drug-exposed newborn to the neonatal intensive care unit. The nurse should assess the newborn for which signs of withdrawal? (Select all that apply.)
a. Tremors
b. Nasal stuffiness
c. Loose, watery stools
d. Hypoactive Moro reflex
e. Decrease in respiratory rate
ANS: A, B, C
Signs of withdrawal in a drug-exposed newborn include increased tone; increased respiratory rate; disturbed sleep; fever; excessive sucking; and loose, watery stools. Other signs observed included projectile vomiting, mottling, crying, nasal stuffiness, hyperactive Moro reflex, and tremors.
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