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NAS – supportive care — RACP Paediatrics MCQ

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EasyNeonatalNAS – supportive careRACP Paediatrics

A term neonate born to a mother who used cannabis and benzodiazepines during pregnancy shows mild irritability and jitteriness. Finnegan scores are consistently 5-7. The mother is breastfeeding and plans to remain drug-free. What is the most appropriate management?

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Correct answer: C — Supportive care (swaddling, demand feeding)

NAS with Finnegan scores <8 should be managed with non-pharmacological measures: supportive care including swaddling, gentle handling, demand feeding, low-stimulation environment, and skin-to-skin contact. Breastfeeding is encouraged (unless contraindicated). Pharmacological treatment is reserved for scores consistently ≥8 despite optimal non-pharmacological care.

Reference: RCH Melbourne – 2023 – NAS CPG; RACP Paediatric Curriculum – Neonatology