Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
39. A client delivers a 4-pound, 8-ounce neonate at 35 weeks' gestation. A meconium drug screen shows the presence of heroin. The neonate is admitted to the nursery with narcotic abstinence syndrome. Nursing care of the neonate should include:
. Teaching the mother to provide tactile stimulation.
. Wrapping the neonate snugly in a blanket.
. Placing the neonate in the infant car seat.
. Initiating an early infant-stimulation program.
Test-Taking Tip
A neonate with narcotic abstinence syndrome needs decreased tactile stimulation. Eliminate the three options that increase stimulation.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Implementation; Cognitive Level: Analysis; Client Need/Subneed: Psychosocial Integrity/Chemical and other Dependencies
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because tactile stimulation can increase the hyperirritability associated with narcotic abstinence syndrome. Answer 2 is correct because wrapping the newborn snugly in a blanket decreases the hyperirritability and increases feeling of security. Answer 3 is incorrect because putting the neonate in the car seat can increase physical and sensory stimulation to the infant. The goal is to decrease these effects. Answer 4 is incorrect because an early stimulation program increases physical and sensory stimulation to the infant. The goal is to decrease these effects.