Nursing care of the infant with neonatal abstinence syndrome should include Quizlet

Q: Which medication would be included in the plan of care for a newborn with acute neonatal abstinence syndrome who is not responding to conservative nursing approaches?

Infants who dont respond to this care may require pharmacologic treatment, most commonly with morphine or methadone.

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What care is appropriate for the infant with neonatal abstinence syndrome?
Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?
What nursing interventions are appropriate when supporting an infant experiencing NAS?
Which medication would be included in the plan of care for a newborn with acute neonatal abstinence syndrome who is not responding to conservative nursing approaches?

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Cleft lip/palate: Opening in the lip or palate

Tracheoesophageal atresia: Excessive mucous secretions
and drooling, periodic cyanotic episodes and choking,
abdominal distention after birth, immediate regurgitation
after birth

Duodenal atresia: Abdominal distention, bilious vomiting,
failure to pass meconium in the first 24 hr

PKU: Can result in cognitive impairment if untreated;
not evident at birth, but will be identified with neonatal
screening

Galactosemia: Can result in failure to thrive, cataracts,
jaundice, cirrhosis of the liver, sepsis, and cognitive
impairment if untreated; this will not be evident at birth,
but will be identified with neonatal screening

Hypothyroidism: Can result in hypothermia, poor feeding,
lethargy, jaundice, and cretinism if untreated

Neurologic anomalies (spina bifida): Protrusion of the
meninges and/or spinal cord

Hydrocephalus: Enlarged head and bulging fontanels;
sun-setting sign is common in which the whites of the
eyes are visible above the iris

Patent ductus arteriosus: Murmurs, abnormal heart rate
or rhythm, breathlessness, and fatigue while feeding

Tetralogy of Fallot: Respiratory difficulties, cyanosis,
tachycardia, tachypnea, and diaphoresis

Down syndrome: Oblique palpebral fissures or upward
slant of eyes, epicanthal folds, flat facial profile with
a depressed nasal bridge and a small nose, protruding
tongue, small low-set ears, short broad hands with a fifth
finger that has one flexion crease instead of two, a deep
crease across the center of the palm (frequently referred to as a simian crease), hyperflexibility, hypotonic muscles

What care is appropriate for the infant with neonatal abstinence syndrome?

Standard of care interventions include decreasing external stimulation, holding, nonnutritive sucking, swaddling, pressure/rubbing, and rocking. These interventions meet the goals of nonpharmacologic interventions, which are to facilitate parental attachment and decrease external stimuli.

Which of the following symptoms should the nurse recognize as a manifestation of neonatal abstinence syndrome?

Jitteriness. Frequent crying (may be high pitched) Vigorous sucking on a pacifier. Sweating.

What nursing interventions are appropriate when supporting an infant experiencing NAS?

Current interventions for neonatal abstinence syndrome range from supportive-swaddling and cuddling, nutritional support and breastfeeding, completing observation and scoring systems, providing a quiet environment and low stimuli, rooming-in with the mother, and pharmacotherapy (MacMullen, Dulski, & Blobaum, 2014).