*NURSING > VATI RN > VATI Maternal Newborn Review.[COMPLETE QUIZ AND ANSWERS FINAL EXAM GRADED A+] (All)
VATI Maternal Newborn Review A nurse is caring for a newborn and notes signs of abstinence syndrome (withdrawal). The nurse uses the neonatal abstinence scoring system. What is assessed and scored w... ith this tool? CNS – increased wakefulness; a high-pitched, shrill cry; incessant crying; irritability; tremors; hyperactive with an increased Moro reflex; increased deep-tendon reflexes; increased muscle tone; abrasions and/or excoriations on the face and knees; and convulsions. Metabolic, vasomotor, and respiratory findings – nasal congestion with flaring; frequent yawning; skin mottling; tachypnea greater than 60/min; sweating; and a temperature greater than 99°F. Gastrointestinal – poor feeding; regurgitation; diarrhea; and excessive, uncoordinated, and constant sucking. A nurse is caring for a newborn with fetal alcohol syndrome. What clinical findings should the nurse anticipate? Facial anomalies include eyes with epicanthal folds, strabismus, and ptosis; mouth with a poor suck, small teeth, and a cleft lip or palate. Deafness Abnormal palmar creases and irregular hair Many vital organ anomalies, such as heart defects, including atrial and ventricular septal defects, tetralogy of Fallot, and patent-ductus arteriosus. Developmental delays and neurologic abnormalities Prenatal and postnatal growth retardation Sleep disturbances [Show More]
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