Chapter 31: Mental Health Disorders and Substance Abuse Flashcards
A client with a history of bipolar disorder is called by the postpartum support nurse for follow up. Which symptoms would reassure the nurse that the client is not experiencing a manic episode?
b. Increased appetite and lack of interest in activities
When a woman is diagnosed with postpartum depression (PPD) with psychotic features, what is the nurse’s primary concern in planning the client’s care?
c. Harming her infant
During an inpatient psychiatric hospitalization, what is the most important nursing intervention
b. Supervising and guiding visits with her infant
. Despite warnings, prenatal exposure to alcohol continues to far exceed exposure to illicit drugs. Which condition is rarely associated with fetal alcohol syndrome (FAS)?
a. Respiratory conditions
As a powerful central nervous system (CNS) stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth?
d. Cocaine
According to research, which risk factor for PPD is likely to have the greatest effect on the client postpartum?
a. Prenatal depression
Which is the most accurate description of PPD without psychotic features?
c. Distinguishable by pervasive sadness along with mood swings
While providing care to the maternity client, the nurse should be aware that one of these anxiety disorders is likely to be triggered by the process of labor and birth. Which disorder fits this criterion?
c. Posttraumatic stress disorder (PTSD)
Which substance used during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications?
Tobacco
As part of the discharge teaching, the nurse can prepare the mother for her upcoming adjustment to her new role by instructing her regarding self-care activities to help prevent PPD. Which statement regarding this condition is most helpful for the client?
d. Realize that PPD is a common occurrence that affects many women.
A woman at 24 weeks of gestation states that she has a glass of wine with dinner every evening. Why would the nurse counsel the client to eliminate all alcohol?
c. The fetus is placed at risk for altered brain growth.
A pregnant woman who abuses cocaine admits to exchanging sex to finance her drug habit. This behavior places the client at the greatest risk for what?
c. Sexually transmitted infections (STIs)
What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?
d. Intrauterine growth
The use of methamphetamine (meth) has been described as a significant drug problem in the United States. The nurse who provides care to this client population should be cognizant of what regarding methamphetamine use?
b. Methamphetamines are stimulants with vasoconstrictive characteristics
With one exception, the safest pregnancy is one during which the woman is drug and alcohol free. What is the optimal treatment for women addicted to opioids?
a. Methadone maintenance treatment (MMT)
Reports have linked third trimester use of selective serotonin uptake inhibitors (SSRIs) with a constellation of neonatal signs. The nurse is about to perform an assessment on the infant of a mother with a history of a mood disorder. Which signs and symptoms in the neonate may be the result of maternal SSRI use?
c. Shivering d. Fever e. Irritability
Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women. The 4 Ps Plus is a screening tool specifically designed to identify the need for a more in-depth assessment. Which are the correct components of the 4 Ps Plus?
a. Parents b. Partner d. Past e. Pregnancy
