HESI Registered Nurse EXIT Practice Exam

What is the nursing priority for a neonate showing signs of withdrawal?

1. Hold the infant at frequent intervals.

2. Assess for neonatal withdrawal syndrome.

3. Offer fluids to prevent dehydration.

4. Administer medication to stop diarrhea.

The correct answer is: Assess for neonatal withdrawal syndrome.

The nursing priority for a neonate showing signs of withdrawal is to assess for neonatal withdrawal syndrome. This is crucial because early identification of withdrawal symptoms allows for timely interventions, which can significantly improve the infant's outcomes. Withdrawal in neonates can manifest in a variety of ways, including irritability, feeding difficulties, tremors, and seizures. By conducting a thorough assessment, the nurse can determine the severity of the withdrawal and the appropriate course of action. Understanding the specific symptoms associated with neonatal withdrawal syndrome is essential, as it guides the planning of nursing care, including the potential need for medication or supportive measures. Recognizing withdrawal allows the healthcare team to better support the infant in managing symptoms and facilitates appropriate communication with other healthcare providers regarding the infant's care plan. Focusing solely on holding the infant, offering fluids, or administering medication to manage diarrhea may not address the underlying issue of withdrawal itself. While these actions can be part of the overall care plan, they do not take precedence over the critical step of assessment, which is essential for effective intervention and management of the infant's condition.