Difficulty: Medium
Average Score: 91%
Simulated
A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan?
Correct answer
C
Rationale
The correct answer is C: Minimize noise in the newborn's environment. This is crucial in managing neonatal abstinence syndrome as newborns with this condition are hypersensitive to stimuli, including noise. Excessive noise can exacerbate their withdrawal symptoms, making them more irritable and difficult to console. By reducing noise levels, the nurse can create a calming environment that aids in comforting the newborn.
Choice A is incorrect because maintaining eye contact during feedings is not specifically related to managing neonatal abstinence syndrome. Choice B is incorrect as swaddling the newborn with legs extended may not address the primary issue of sensitivity to noise. Choice D is incorrect as naloxone is not indicated for neonatal abstinence syndrome but rather for opioid overdose reversal in adults.
Choice A is incorrect because maintaining eye contact during feedings is not specifically related to managing neonatal abstinence syndrome. Choice B is incorrect as swaddling the newborn with legs extended may not address the primary issue of sensitivity to noise. Choice D is incorrect as naloxone is not indicated for neonatal abstinence syndrome but rather for opioid overdose reversal in adults.