CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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Sixteen hours after birth, the nurse noticed that the neonate is jittery, hyperactive, sneezes frequently, produces a high-pitched cry, and is having difficulty sucking. Evaluation reveals that the neonate has increased deep tendon reflexes and a decreased Moro reflex. The nurse should suspect a case of:

Syphilis in the neonate
Cerebral palsy
Fetal alcohol syndrome
Opiod withdrawal

Explanation

Answer - D - The nurse should suspect a case of opiod drug withdrawal. The signs are indicative of opiod drug withdrawal in which typical changes occur in the central nervous system; it is a must to observe the neonate during the first 24-48 hours of life.

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