The nurse is collecting data on prenatal clients at a clinic on a ...

[vHAUNG6011]

The nurse is collecting data on prenatal clients at a clinic on a Native American reservation in Arizona. One client has risk factors for substance abuse. What physical sign or signs did the nurse assess that suggest substance abuse in this client?
 
  Select all that apply.
  A) Dilated pupils
  B) Odor of alcohol on the breath
  C) Frequent accidents or falls
  D) Underweight
  E) Dressed in jeans and a t-shirt

Question 2

A pregnant client experiences abruptio placentae. The father of the baby asks the nurse why this has happened to them. Which risk factor in the client's history is the likely cause for this condition?
 
  A) Maternal smoking
  B) Genetic history
  C) Maternal cocaine use
  D) The mother having low levels of folic acid

[parker125]

Answer to Question 1

Answer: A, B, D

Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle track marks or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.

Answer to Question 2

Answer: C

Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.

[vHAUNG6011]

Thank you

[parker125]

Happy to help you