Question of the Week

For October 16, 2018

A female infant is born to a woman who was treated with methadone for heroin addiction during the pregnancy. At 2 days, the child does not seem to latch well during breastfeeding and is very fussy. She has a high-pitched cry, an exaggerated Moro reflex, diarrhea, and increased sweating.

A tool that quantifies the severity of neonatal withdrawal indicates that the infant has moderate signs of neonatal abstinence syndrome.

Which one of the following next steps is most appropriate for this patient?

Initiate treatment with diazepam
Initiate treatment with low-dose morphine
Initiate dextrose infusion intravenously
Move the child to a dark, quiet environment
Place a nasogastric tube for continuous enteral nutrition