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OB-Substance Abuse 2
Cocain Abuse in Pregnancy
| Question | Answer |
|---|---|
| what are the major effects of cocaine on mom and baby | vasoconstriction, tachycardia and HTN |
| when is a spontaneous abortion more likely in a cocaine using mom | first trimester |
| is placenta previa or abruption placentae more commonly associated with cocaine use | abruption placentae |
| what are the signs and symptoms of a cocaine user | mood swings, appetite changes and lack of motivation |
| what amount of cocaine is passed throug breastmilk | all |
| cocaine use in pgrenancy can cause what characteristic weight and head circumference | decreased |
| is cocaine contraindicated in breatsfeeding | yes |
| is a baby addicted to cocaine likely to feed well | no |
| s/s of baby receiving cocaine through breast milk are | extreme irritability, vomiting and diarrhea, dilated pupils and apnea |
| describe the pupils of babies exposed to cocaine | dilated |
| describe the breathing pattern of baby exposed to cocaine | apneic |
| describe the GI symptoms of baby exposed to cocaine | vomiting and diarrhea |
| why are the affects of marijuana difficult to evaluate | often used in conjunction with alcohol and tobacco |
| heroin addicted mom's often pay for their habit with what type of employment | prostitution |
| what is the most common birthing position in most heroin addicted babies | breech |
| what placental abnormalities may happen as a result of heroin use | abnormal implantation and abruptio placentae |
| do most heroin users go full term with pregnancies | no |
| describe the cry of a baby addicted to heroin | high pitched |
| moms that use heroin have a higher incidence of what | sti's and hiv |
| describe the membranes in a heroin mom | more likely to rupture prematurely and meconium staining |
| due to the hypertensive effects of heroin what is this mom more likely to develop | preeclampsia-eclampsia |
| what is the priority nursing diagnosis for a pregnant woman with substance abuse | imbalanced nutrition |
| should all pregnant women be screened for substance abuse | yes |
| urine drug screen can identify what about use | recent or heavy use |
| what approach should you take when assessing a woman for substance abuse | use accepting terminology and be nonjudgmental |
| what action should be taken if a newborn shows positive for drugs | required by law to report to state protection agency |
| what are the three top nursing implementations focused on | recovery, effects on self and fetus and prevention of complications |
| what placental disorder is common in meth moms | placental abruption |
| what are the complications of drug exposed newborns | respiratory distress, jaundice, congenital anomalies and growth restriction and behavioral abnormalities and withdrawal |
| what types of test will be done on a newborn suspected to be in withdrawal | meconium analysis and urine drug screen |
| what drugs are used to control withdrawal symptoms | phenobartbital, morphine, oral methadone and valium |
| increases in what reflexes indicate withdrawal | sneezing, hiccups, yawning |
| what screening can be used to determine withdrawal and sliding scale needs for medications | neonatal abstinence score sheet |
| what is the best intervention to reduce risks of tobacco to the fetus and newborn | prevention-teach before pregnancy to quit smoking |
| describe the muscle tone of a baby exposed to tobacco | fluctuates between increased or decreased |
| what are the signs of nicotine toxicity | tachycardia, irritability, poor feeding |
| describe the moro reflex of a tobacco baby | hyperactive |
| describe the intrauterine fetal heart tones of a tobacco baby | distressed |
| when is the greatest potential for gross abnormalities in the fetus | first trimester |
| what major problem is created for an adolescent if she becomes pregnant | pregnancy can halt or never allow developmental milestones to be achieved |
| what is the major risk factor for teen pregnancy | poverty |
| how is sexual experience related to teen pregnancy | if first experience at younger age the risk is increased |
| what is the biggest physical risks for the pregnant teen | cephalopelvic disproportion |
| is a preg teen likely to develop preeclampsia | yes |
| what is the psychosocial risk for the preg teen | interruption of the developmental tasks of adolescence |
| what is the highest nursing priority for preg teen | nutrition |
| what can you do to encourage the teen to take part in prenatal care | allow her an active role...you know the drill: jump on the scales and give me a UA |
Created by:
Lori Dobrisky
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