The nurse is planning care for a pregnant client prone to ...

[ss2343]

The nurse is planning care for a pregnant client prone to substance abuse. When the client states, My baby isn't getting my drugs; I am, which response by the nurse is the most appropriate?
 
  1. Most illicit drugs will cross the placenta and hurt the baby.
  2. Even drugs that do not cross the placenta can hurt your baby by preventing nutrients from getting across the placenta.
  3. Research shows taking drugs can cause your baby to be born too early.
  4. You are correct. You are far enough along in your pregnancy that drugs will not harm your baby.
  5. If you continue to take drugs, it will make you have a very irritable infant.

Question 2

A pregnant client suspected of drug abuse is admitted to the emergency department. The nurse plans to teach the client about which complications associated with drug use during pregnancy?
 
  1. Preterm birth
  2. Low birth weight
  3. Birth defects
  4. Allergies to narcotics
  5. Increased labor

[rleezy04]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms.
Rationale 2: Certain drugs can cause constriction of placental blood vessels, resulting in decreased nutrient exchange.
Rationale 3: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms.
Rationale 4: The effect the drug has on the fetus will depend on the stage of fetal development. There is a greater potential for harm during the first trimester but nutrients to the fetus can be compromised by drug abuse during the latter stages of pregnancy.
Rationale 5: While withdrawal can cause irritability in infants born to drug addicts, the risk for irritability is not the reason for abstaining from drug use during pregnancy.
Global Rationale: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms. Certain drugs can cause constriction of placental blood vessels, resulting in decreased nutrient exchange. Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms. The effect the drug has on the fetus will depend on the stage of fetal development. There is a greater potential for harm during the first trimester but nutrients to the fetus can be compromised by drug abuse during the latter stages of pregnancy. While withdrawal can cause irritability in infants born to drug addicts, the risk for irritability is not the reason for abstaining from drug use during pregnancy.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Many illicit drugs can cause preterm birth.
Rationale 2: Many illicit drugs can cause low birth weight.
Rationale 3: Many illicit drugs can cause birth defects.
Rationale 4: No research suggests that drug use can cause allergies to narcotics.
Rationale 5: No research suggests that drug use can cause increased labor.
Global Rationale: Many illicit drugs can cause preterm birth, low birth weight, and cause birth defects. No research suggests that drug use can cause allergies to narcotics or that drug use can cause increased labor.

[ss2343]

Thanks

[rleezy04]

Welcome