NRS 452

A nurse is caring for a newborn and notes signs of abstinence syndrome (withdrawal). The nurse uses the neonatal abstinence scoring system. What is assessed and scored with this tool? CNS – increased wakefulness; a high-pitched, shrill cry; incessant crying; irritability; tremors; hyperactive with an increased Moro reflex; increased deep-tendon reflexes; increased muscle tone; abrasions and/or excoriations on the face and knees; and convulsions. Metabolic, vasomotor, and respiratory findings...