What should be monitored closely in a newborn diagnosed with neonatal abstinence syndrome?

Monitoring closely in a newborn diagnosed with neonatal abstinence syndrome (NAS) is crucial due to the wide range of symptoms and complications that may arise as the infant goes through withdrawal from in utero exposure to substances such as opioids.

Each of the aspects listed in the choices plays a significant role in the overall management of a newborn with NAS.

Feeding patterns are important to monitor because infants may have difficulties with feeding due to irritability, poor suck reflex, or gastrointestinal disturbances. Proper nutrition and hydration are essential for recovery and stabilization.

Skin condition should also be monitored closely. Infants with NAS may present with increased muscle tone and hyperresponsiveness, leading to irritability that can result in skin irritation or breakdown, especially in areas subject to friction.

Neurological responses are critical to evaluate because newborns with NAS may exhibit signs of central nervous system irritability, such as tremors, seizures, and excessive crying. Watching for abnormal neurological signs helps clinicians assess the severity of the withdrawal and adjust management strategies accordingly.

In essence, the comprehensive monitoring of feeding patterns, skin condition, and neurological responses provides a holistic approach to caring for a newborn with NAS, thereby ensuring that the infant receives prompt interventions for any emerging complications. Thus, the correct choice reflects