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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is caring for a newborn whose mother was taking methadone during her pregnancy. Which of the following findings indicates the newborn is experiencing withdrawal?

    Explanation & Rationale

    A. Neonatal Abstinence Syndrome (NAS) due to maternal opioid use can cause hypertonicity (increased muscle tone), tremors, irritability, and a high-pitched cry. B. Bradycardia is not a common withdrawal symptom; instead, tachycardia is expected. C. Acrocyanosis (bluish hands/feet) is a normal finding in newborns and not related to withdrawal. D. Bulging fontanels suggest increased intracranial pressure and are not a symptom of opioid withdrawal.

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