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## Managing Symptoms of Intrauterine Drug Exposure ### High-pitched crying * Keep the room quiet with low light * Swaddle the infant securely in a flexed position with the arms close to the body * Hold the infant close to the body * Rock the swaddled infant slowly and rhythmically * Walk with the s...

## Managing Symptoms of Intrauterine Drug Exposure ### High-pitched crying * Keep the room quiet with low light * Swaddle the infant securely in a flexed position with the arms close to the body * Hold the infant close to the body * Rock the swaddled infant slowly and rhythmically * Walk with the swaddled infant held close * Offer a pacifier, possibly with sugar solution if acceptable * Give a warm bath * Play soft music * Place the infant in a dark room with no stimulation at all for a period of time may be effective if other methods fail * Waterbed or sheepskin ### Inability to sleep * Decrease environmental stimuli, maintain quiet * Feed frequently in small amounts ### Nasal stuffiness/sneezing * Aspirate nasopharynx as needed * Feed slowly and give time for rest between sucking * Monitor respirations ### Poor feeding and frantic sucking (fingers, fist) * Feed small frequent amounts with enteral feedings if necessary * Provide non-nutritive sucking with pacifier to relieve frantic sucking ### Regurgitation * Weigh frequently and monitor fluids and electrolytes * Place supine with head elevated after feedings * Observe for dehydration and provide IV fluids as needed ### Hypertonicity * Monitor temperature and decrease environmental temperature if infant's temperature is greater than 37.6° C * Change the infant's position frequently to avoid pressure sores * Place on sheepskin or waterbed to prevent pressure ### Diarrhea * Change the diaper frequently and cleanse skin with mild soap and water. Apply skin barrier when needed. * Expose irritated skin to air ### Tremor, seizures * Decrease environmental stimuli and handling * Change position frequently * Observe for scratches, blistering, or abrasions