You are called to the room and find Michael 2 hours old has beenvery irritable and spitting up large amounts of formula. He is veryjittery. You do not know the maternal history before coming intothe room so you advise the mother that you would like to return thebaby to the nursery for an assessment and monitoring. In themedical record you focus on prenatal history. You witness the babyhaving some significant tremors. What would you suspect? MichaelsVS are: T (axillary) - 36.0, RR- 70, HR- 166, he is very alert,irritable, and does not console easily. Is moving constantly andsucking very vigorous on the pacifier you provide for comfort. Youplace the baby under the warmer and obtain what labs?

It is determined that this baby is going through opioidwithdrawal. Neonatal Abstinence Syndrome requires close observationand scoring. Methadone may be used. Neonatal Abstinence SyndromeShows both the signs of withdrawal, scoring and the nursing care ofa baby with Neonatal Abstinence Syndrome .

What is your feeling and knowledge regarding care of the babyexperiencing Neonatal Abstinence Syndrome?