UWorld Maternity Practice Test

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What intervention should the nurse implement for a newborn born to a mother with a history of substance use?

Provide a quiet environment for the newborn

Encourage frequent feeding with formula

Monitor the newborn for withdrawal symptoms

Monitoring the newborn for withdrawal symptoms is crucial when there is a maternal history of substance use, as newborns can experience withdrawal effects from drugs used during pregnancy. This condition, often referred to as Neonatal Abstinence Syndrome (NAS), can manifest with symptoms such as irritability, poor feeding, tremors, and seizures. By closely monitoring the newborn, the nurse can identify any signs of withdrawal early and intervene appropriately, ensuring the infant receives the necessary care and support to manage these symptoms.

Implementing this intervention is vital for the infant's health and well-being, as withdrawal can lead to significant complications if not properly addressed. Early detection enables timely support measures, which may include pharmacological treatment and supportive care, allowing for better outcomes for the newborn. Being aware of the potential risks related to maternal substance use emphasizes the importance of vigilant observation and assessment during this critical period.

Utilize skin-to-skin contact to promote bonding

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