82. Case-Based - NAS Pharmacologic Management
A newborn diagnosed with NAS has a Finnegan score indicating moderate-to-severe
withdrawal symptoms.
Which medication should the nurse anticipate administering?
1. Furosemide
2. Morphine or methadone per protocol
3. Acetaminophen
4. Dextrose IV
81. Clinical Judgment - Neonatal Abstinence Syndrome (NAS) Assessment
A newborn delivered at 39 weeks to a mother with a history of opioid use is exhibiting high-
pitched crying, tremors, poor feeding, and hypertonia.
What is the priority nursing intervention?
1. Perform fundal massage
2. Minimize environmental stimuli and swaddle the newborn
3. Encourage vigorous feeding
4. Apply heat packs to reduce tremors
80. Critical Thinking - Newborn Safety Education Before Discharge
A nurse is providing discharge teaching to new parents about safe sleep practices.
Which instructions should be included? Select all that apply.
1. Place the newborn on their back to sleep
2. Use soft bedding and pillows for comfort
3. Avoid co-sleeping in the parents’ bed
4. Ensure the crib mattress is firm and fitted
5. Keep stuffed animals in the crib for warmth
79. Priority Nursing Action - Postpartum Hemorrhage Risk at Discharge
A postpartum client preparing for discharge reports persistent dizziness and heavy
bleeding. BP is 90/60 mmHg, and HR is 120 bpm.
What is the priority nursing intervention?
1. Encourage hydration and rest
2. Assess for postpartum hemorrhage and notify the provider
3. Proceed with discharge and schedule follow-up
4. Offer reassurance and emotional support
80. Critical Thinking - Newborn Safety Education Before Discharge
A nurse is providing discharge teaching to new parents about safe sleep practices.
Which instructions should be included? Select all that apply.
1. Place the newborn on their back to sleep
