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The nurse observes that 12 hours after birth the neonate is hyperactive and jittery, sneezes frequently, has a high-pitched cry, and is having difficulty suckling. further assessment reveals increased deep tendon reflexes and a diminished moro reflex. what problem does the nurse suspect

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The answer would be: Opioid drug withdrawal

Since opioid is depressant, the withdrawal symptoms would be the opposite of it. Hyperactivity and increased reflex is a symptom of a stimulant agent or depressant withdrawal.
Syphilis would give fever and discharge. Fetal alcohol syndrome manifest as growth retar dation like smaller head, length, or weight. Palsy wouldn't cause hyperactivity.