psycho-social issues

Question 1

maternal affects w/substance abuse

Answer 1

HTN
poor nutrition
infections
preterm labor

Question 2

fetal affects w/substance abuse

Answer 2

IUGS
SIDS
prematurity
NAS

Question 3

maternal complications w/cocaine

Answer 3

increased risk SAB during 1st trimester (spontaneous abortion)
PTL & PROM during 2nd & 3rd trimester
decreased blood flow to heart, brain and uterus

Question 4

cocaine’s affect

Answer 4

stimulant, hyper arousal state

Question 5

fetal/neonate complications w/cocaine

Answer 5

CNS abnormalities (inconsolable, poor suck, hyper-reflexes, alert, sensitive to stimuli)
SIDS risk
hypoxia
meconium staining
SGA
microcephaly (small head)

Question 6

maternal complications of heroine

Answer 6

infertility (levels drop, can become preg)
PTL
pre-eclampsia
post-partum hemorrhage

Question 7

heroines effect

Answer 7

depressant, drowsy, stupor

Question 8

fetal complications w/heroine

Answer 8

IUGR
hypoxia
prematurity
still birth
NAS
SIDS
accelerated lung maturity

Question 9

is breast feeding ok if mom is on methadone for heroin addiction?

Answer 9

yes

Question 10

most common form of substance abuse in preg

Answer 10

smoking

Question 11

maternal complications of smoking

Answer 11

SAB (spontaneous abortion)
placenta previa
abruptio placentae
perterm labor/PROM

Question 12

fetal complications of smoking

Answer 12

IUGR
LBW
prematurity
still birth
increased risk for ADHD, SIDS, RSV

Question 13

tobacco effects

Answer 13

produces harmful gases (carbon monoxide, nicotine)
causes vasoconstriction
crosses placenta

Question 14

maternal complications of alcohol

Answer 14

SAB
abruptio placentae
PTL
interrupts nutrition absorption

Question 15

fetal complications of alcohol

Answer 15

birth defects
fas (fetal alcohol syndrome)
developmental delays

Question 16

if mom stops drinking she can decrease the risk of fas in the 3rd trimester t or f

Answer 16

true

Question 17

alcohol is considered a

Answer 17

teratogen
no amount is safe
crosses placenta; has been found in amniotic fluid

Question 18

maternal complications of meth

Answer 18

SAB
Abruptio placentae
Preterm labor
Insomnia
Loss of appetite
Cardiac dysrhythmias

Question 19

fetal complications of meth

Answer 19

IUGR/LBW
Reduced brain growth
Congenital anomalies
Fetal stress
NAS
Increased risk for SIDS

Question 20

effect of meth

Answer 20

similar to cocaine

Question 21

nursing mgmt for substance abuse

Answer 21

remain non-judgmental
avoid confrontation
screen (cage)
educate/collaborate