A 20-year-old woman at 28 weeks' gestation has a history of past ...

[jazziefee]

A 20-year-old woman at 28 weeks' gestation has a history of past drug abuse and her urine screening indicates recent heroin use. What should the nurse recognize this client is at risk for developing?
 
  1. Diabetes mellitus
  2. Abruptio placentae
  3. Erythroblastosis fetalis
  4. Pregnancy-induced hypertension

Question 2

The nurse suspects that a pregnant client is a substance user. Which approach should the nurse take during the health history?
 
  1. Explaining how harmful drugs can be for her baby.
  2. Asking the woman directly, Do you use any street drugs?
  3. Asking the woman if she would like to talk to a counselor.
  4. Asking some questions about over-the-counter medications and avoiding the mention of illicit drugs.

[cupcake16]

Answer to Question 1

4
Explanation:
1. Diabetes is an endocrine disorder that is unrelated to drug use/abuse.
2. Abruptio placentae is seen more commonly with cocaine/crack use.
3. Erythroblastosis fetalis is secondary to physiologic blood disorders such as Rh incompatibility.
4. Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or preeclampsia).

Answer to Question 2

2
Explanation:
1. When talking to clients in a therapeutic manner, it is important not to be threatening or judgmental. Explaining how harmful drugs can be for her baby is an example of being judgmental.
2. The best method of finding out if a client is using substances is to be direct and ask the question in a direct fashion without prejudice, bias, or negative body language. Lack of judgmental attitudes/body language typically results in honest answers.
3. It is the responsibility of the nurse to question the client.
4. It is the responsibility of the nurse not to avoid the issue.