76. Clinical Judgment - Newborn Discharge Readiness
A newborn is scheduled for discharge. The nurse notes that the infant has mild jaundice,
poor feeding, and decreased urine output.
What is the priority nursing action?
1. Proceed with discharge as planned
2. Notify the provider and assess bilirubin levels
3. Encourage parents to monitor at home
4. Delay discharge for 24 hours
75. Critical Thinking - NAS Parental Education
A nurse is educating parents about caring for a newborn diagnosed with NAS.
Which points should be included in discharge teaching? Select all that apply.
1. Monitor for continued irritability and feeding difficulties
2. Limit parent-infant interaction to prevent overstimulation
3. Ensure follow-up care with a pediatric provider for development monitoring
4. Use bright lights and loud sounds to engage the infant
5. Practice gentle rocking and soothing techniques
74. Priority Nursing Action - NAS Feeding Challenges
A newborn with NAS has a weak sucking reflex and struggles to latch onto the bottle.
What is the best nursing intervention?
1. Increase environmental stimuli to encourage feeding
2. Use a specialized slow-flow nipple
3. Avoid feeding until withdrawal symptoms subside
4. Encourage rapid feeding sessions
73. Multi-Step Decision-Making - Non-Pharmacologic NAS Care
A newborn experiencing withdrawal symptoms is irritable, difficult to console, and
exhibiting excessive sucking and yawning.
Which interventions should the nurse initiate? Select all that apply.
1. Swaddle the newborn tightly
2. Keep the newborn in a low-stimulation environment
3. Encourage skin-to-skin contact with caregivers
4. Delay feeding for 12 hours
5. Provide small, frequent feedings
72. Case-Based - NAS Pharmacologic Management
A newborn with severe withdrawal symptoms has a Finnegan score of 12, indicating the
need for pharmacologic treatment.
Which medication should the nurse anticipate administering?
