Mumps. 2012;12(5):281 –285 Which of the following findings should the nurse expect? What do we do for newborns addicted to cocaine? 69) A nurse is planning to administer ondansetron 0.15 mg/kg IV to a child who is receiving chemotherapy and weighs 29.4kg. A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace which of the following statement should the nurse make? Maintain a neutral facial expression when speaking to the child. use clean technique to change the tracheostomy tube. Which of the following findings should the nurse identify as a potential indicator of child abuse? Congratulations on the birth of your new baby! Your essay will have double spaced text. postoperative following a cardiac catheterization procedure. Which of the following action s should the nurse take ? 8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. B. 60) A nurse is providing a teaching to the guardian of a 2year old about typical toddler behavior. Which of the following interventions should the nurse include in the plan of care? place gate at the top and bottom of the stairs. Neonatal therapy: An update. 38) A nurse is caring for an infant who has a patent ductus arteriosus. Which of the following information should the nurse include in the teaching? From changing attitudes to standardizing treatment, clinical care for infants with neonatal abstinence syndrome (NAS) and their families is markedly different than it … A nurse is caring for a preschooler who has a brain tumor. Which of the following findings should the nurse report to the provider? Values This class does not currently contain any diagnoses Class 2. Which of the following actions should the nurse take first. A nurse is providing teaching to a parent of a child who has HIV. Caring for your new baby during withdrawal. Hospitals across the country have implemented volunteer baby cuddler programs to help infants deal with neonatal abstinence syndrome. 18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following children should the nurse identify as an appropriate roommate for the preschooler ? 31) A charge nurses teaching a group of nurses about identifying child abuse. 3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following findings is a clinical manifestation associated with this diagnosis? How do we obtain hemoglobin concentration measurements? A nurse is planning care for an adolescent following repair of Meckel diverticulum. C. Discourage … Some examples might be methadone, heroin and percocet. Neonatal Abstinence Syndrome Neonatal abstinence syndrome (NAS) is a treatable condition that newborns may experience as a result of prenatal exposure to certain substances, most often opioids. ( You will find hot spots to select in the artwork below. NAS is most often caused when a woman takes drugs called opioids during pregnancy. Which of the following findings requires immediate intervention by the nurse? Neonatal abstinence syndrome is what happens when babies are exposed to drugs in the womb before birth. 34) A nurse is performing a health assessment for a 6 month old infant. The syndrome most often applies to opioid medicines. 1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. Ostrea EM, Ostrea AR, Simpson PM. Which instructions should the nurse include ? Which of the following actions should the nurse take first? A nurse is planning care for a newborn who has neonatal abstinence syndrome. A nurse is teaching about growth and development to a parent of 12 year-old child .the nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescent. Which of the following statements by the guardian indicates a clear understanding of the teaching? Babies can then go through drug withdrawal after birth. Neonatal abstinence syndrome, or NAS, develops after a baby is born and no longer gets certain drugs or medicine from the mother. ( select all that apply.). 6) A nurse is teaching the parent of a school age child about bicycle safety. 67) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2 mEq/L. 7) A nurse is preparing a child for a lumbar puncture. For a NAS baby, this condition develops mainly from the prenatal use of opioids like OxyContin and heroin, but it can also occur from their mother’s use of antidepressants like Zoloft or benzodiazepines like Xanax. Neonatal abstinence syndrome . Which of the following statements by the client indicates an understanding of the teaching? If there’s a success story to be told at this point in the history of the opioid crisis, it’s in the newborn intensive care unit. Babies can then go through drug withdrawal after birth. Disorganized infant behaviour Risk for disorganized infant behaviour Readiness for enhanced organized infant behavior NANDA Nursing Diagnosis Domain 10. A nurse is teaching a parent of a10-month-old infant about home safety. Avoid eye contact, use vertical rocking, and pacifier, Serum blood glucose level <40 mg/dL (term), Two consecutive plasma glucose levels <40 mg/dL / <25 mg/dL, result of surfactant deficiency in lungs - poor gas exchange and ventilatory failure, Atelctasis (collapsing of portion of lung), Result - respiratory acidosis and hypoxemia, R/t oxygen therapy and mechanical ventilation, Culture and sensitivity of blood, urine, and CSF, Pause in respiration for more than 10-15 sec, Complications for Small for Gestational Age Newborn (SGA). However, certain cautions regarding the results must be considered..Future research should focus on the relationship between diagnostic Which of the following instructions should the nurse include in the teaching? Failure of esophagus to connect to stomach, First part of small bowel has not developed (closed), Cataracts, jaundice, cirrhosis, sepsis, mental retardation, hypothermia, poor feeding, lethargy, jaundice, cretinism (stunted growth), Amniocentesis, chorionic villi sampling, ultrasound, Guthrie test (PKU) - not reliable until baby ingested protein, Restrict meat, dairy products, diet drinks, and protein, Ascites, congested heart failure, edema, pallor, jaundice, hepatosplenomegaly, hydramnios, thick placenta, and dilation of the umbilical vein. Do not use a trailing zero.). Which of the following finding is the nurse priority? The growing incidence of neonatal abstinence syndrome (NAS) among newborns is a public health crisis that is a sequela of the national opioid crisis. A nurse is communicating with a child who had hearing loss. Remove labels from containers that contain toxic substance. Administer IV dantrolene sodium to the toddler. 2010;24(4):366–372 and Maguire D, Webb M, Passmore D, Cline G. NICU nurses’ lived experience: caring for infants with neonatal abstinence syndrome. Neonatal abstinence syndrome (also called NAS) is a group of conditions caused when a baby withdraws from certain drugs he or she is exposed to in the womb before birth. Diagnosis of withdrawal: neonatal abstinence syndrome is scored using an NAS score chart (a modified Finnegan Scoring System) 32 . Which of the following statements by the client indicates an understanding of the teaching? select a toy chest that has a heavy, hinged lid. The neonatal abstinence syndrome scoring system was designed for term babies on four-hourly feeds and may therefore need modification for preterm infants. The nature of the syndrome is highly dependent on the nature of the drugs the baby was exposed to in the womb. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap? Frequent coughing; Constipation; Excessive sucking; Lethargy . Which of the following interventions should the nurse plan to include? Which of the following actions should the nurse take to promote sleep for the infant? The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome? Some babies need extra loving, including 40) a nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding. 122-46. Which of the following behaviors should the nurse include? Eats a large amount of food one day then very little the next. A nurse is assessing an client who has Hodgkin’s lymphoma .which of the following finding s should the nurse expect? 36) A nurse is caring for a child in the PACU following a tonsillectomy. Let’s sit down and discuss why you do not want to wear the brace. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? Unless otherwise stated, we use 12pt Arial/Times New Roman as the font for your paper. Scheduled maintenance: Saturday, March 6 from 3–4 PM PST, Maternal use of substances during pregnancy, Wakefulness, sleep duration <3 hours after feeding, CNS - Increased wakefulness, hyperactivity, increased DTR, increased muscle tone, abrasions/excoriations on face & knees, convulsions, Low birth weight, decreased moro reflex, hypo/hyperthermia, increased seizures, sleep pattern disturbances, higher birth weights, high risk of SIDS, Preterm, drowsiness, jittery, sleep disturbance, respiratory distress, frequent infections, poor weight gain, emotinal disturbances, delayed G&D, Facial anomalies (eyes w/ epicanthal folds, strabismus, ptosis), mouth (poor suck, small teeth, cleft lip), Clinical Picture of Fetal Alcohol Syndrome, Phenobarbital - Decrease CNS irritability, control seizures. Common sources of in utero exposure are prescription and non- ( Select all that apply). Neonatal abstinence syndrome is one of the rare, but critical disease found in the newborn infants. New York, NY: Excerpta Medica; 1986. A nurse is planning care for a newborn who has neonatal abstinence syndrome. 63) A nurse is assessing a toddler who has a history of lead poisoning. Which of the following statements by the guardian indicates an understanding of the teaching? Which of the following reactions in an age appropriate response to death? Which of the following action should the nurse take? A nurse is teaching a group of parents about childhood immunizations. Which of the following statements by the parent indicates a clear understanding of the teaching? In which of the following positions should the child be placed for the procedure? A nurse is planning care for a newborn who has neonatal abstinence syndrome. 51.A nurse is caring for a group of client s. which of the following findings should the nurse report to the provider ? How many mL should the nurse administer? Evisceration of abdominal contents into external peritoneal sac, Herniation of abdominal contents through abdominal wall at umbilicus w/out sac. Administer the injections while the infant is breastfeeding. A nurse is providing discharge teaching to a client following tubal ligation. c .A 3-month old infant who has a respiratory rate of 30/min. A. Ask the parent to leave the room during the injections. However, according to the signs and symptoms the diseas… The disease is observed on the infants who were exposed to addictive illegal and prohibited drugs in the mothers womb. Increase the newborn’s visual stimulation. A nurse is caring for an infant who has increase intracranial pressure (ICP). Neonatal abstinence syndrome (NAS) is a newborn syndrome comprised of a constellation of signs of in utero exposure to, and withdrawal from, one or more medications, drugs, and other substances known to cause withdrawal in adults (1-3). my child will need to double his medications for the next 6 months. Objectives apply a warm pack to the injection site prior to administration. It is hard to tell which babies might get NAS. ... 11. place the diaper under the straps of the hardness. Dysmaturity from placental degeneration to uteroplacental insufficiency, Neonatal Infection/Sepsis (Sepsis Neonatorum), Presence of micro-organisms or their toxins in blood/tissues during 1st month of birth, Risk factors for Neonatal Infection/Sepsis, Medications for Neonatal Infection/Sepsis, Combination of ampicilin w/ aminoglycoside or 3rd gen cephalosporin, Nursing actions for Neonatal Infection/Sepsis, Epidural/subdural hematoma, cerebral contusion, Birth trauma/injury type: Cranial, peripheral nerve, Irritability, seizures within 72 hrs, decreased LOC, Facial flattening, unresponsiveness to grimace, eyes open, Laryngeal nerve palsy or excessive traction on neck, Nerve-plexus injuries/long bone fractures, Limited motion of one arm, crepitus over clavicle (crack), absence of moro reflex, Erb-Duchenne paralysis (brachial paralysis), Flaccid arm w/ elbow extended, hand rotated inward, absence of moro, sensory loss, intact grasp reflex, Localized discoloration, ecchymosis, petechiae, edema, Elevation of serum bilirubin levels resulting in jaundice, Bilirubin levels rise by what 3 main mechanisms, Head, progress to thorax, abdomen, extremities, Clinical manifestations during 1st week of life, Levels >25 mg/dL.