A nurse is assessing a newborn who is 48 hr old and is experiencing opioid withdrawals.Which of the following findings should the nurse expect?

Choice A rationaleHypotonicity is not a feature of neonatal opioid withdrawal syndrome. These newborns often display hypertonicity or an increased muscle tone due to overactive autonomic responses.Choice B rationaleModerate tremors result from central nervous system irritability during withdrawal. Elevated norepinephrine levels lead to excessive stimulation, causing tremors and jitteriness.Choice C rationaleAxillary temperature of 36.1°C (96.9°F) reflects hypothermia, which is uncommon in opioid withdrawal. Thermoregulation issues typically present as fevers or temperature instability.Choice D rationaleNeonatal opioid withdrawal increases arousal and irritability, leading to difficulty sleeping. Excessive sleeping is not characteristic of withdrawal and suggests an alternative cause.