Author Question: The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a ... (Read 44 times)

meagbuch · **on:** Jun 28, 2018

The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a crack-addicted mother. What would be the manifestations of this syndrome? (Select all that apply.)

a. Body tremors
b. Excessive sneezing
c. Hyperirritability
d. Drowsiness
e. Excessive appetite

Question 2

The parents of a child diagnosed with cystic fibrosis ask the nurse what caused this disorder. What is the most appropriate response?

a. Cystic fibrosis is a chromosomal defect.
b. Cystic fibrosis is a metabolic defect.
c. Cystic fibrosis is a malformation present at birth.
d. Cystic fibrosis is a blood disorder.

Brenm · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C
The neonate with abstinence syndrome will have tremors, be hyperirritable and wakeful, have excessive sneezing or yawning, and have no appetite.

Answer to Question 2

ANS: B
Inborn errors of metabolism include a number of inherited diseases that affect body chemistry. There may be an absence or a deficiency of a substance necessary for cell metabolism. The deficient substance is usually an enzyme. Almost any organ of the body may be damaged. Examples of inborn errors of metabolism include cystic fibrosis and phenylketonuria (PKU). In disorders of the blood, there is a reduced or missing blood component or an inability of a component to function adequately. Sickle cell disease, thalassemia, and hemophilia fall into this category. Chromosomal abnormalities number in the thousands. Most involve some type of mental retardation, and others are incompatible with life. The newborn with Turner's syndrome or Klinefelter's syndrome may have impaired physical growth and sexual development. Malformations at birth include several types of structural defects.