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BSN 346 Pregnancy and Substance Misuse – BSN 346 – 2026 – Complete Exam Questions with Answers and Nursing Care Review

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This document contains exam-style questions and answers covering pregnancy and substance misuse, including maternal and fetal effects, commonly misused substances, screening tools, and evidence-based nursing care. It reviews topics such as alcohol, cannabis, nicotine, opioids, cocaine, methamphetamine, neonatal opioid withdrawal syndrome (NOWS), fetal alcohol spectrum disorder (FASD), and prenatal nursing interventions. It also highlights risk factors, pregnancy complications, and key patient education points relevant for nursing exams. The material is presented in a concise question-and-answer format for efficient revision. Keywords Substance misuse in pregnancy Maternal health Fetal development Alcohol exposure Fetal alcohol spectrum disorder Cannabis THC Nicotine Opioids Neonatal opioid withdrawal syndrome Cocaine Methamphetamine CRAFFT screening Prenatal care Nursing interventions Pregnancy complications Low birth weight Preterm birth Placental transfer Exam revision

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Institution
BSN 346
Course
BSN 346

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BSN 346 Pregnancy and
Substance Misuse: Effects,
Risks, and Nursing Care 2026
Exam All Answers and
Illustrations Given



What is a major public health problem related to pregnancy? -

ANSWER ✔✔Substance misuse during pregnancy.


What substances are commonly misused during pregnancy? -

ANSWER ✔✔Alcohol, tobacco/nicotine, cannabis, cocaine,

methamphetamine, opioids/narcotics, and misuse of prescription

medications.

, What is a common characteristic of many individuals who misuse

substances? - ANSWER ✔✔Many are polysubstance users, meaning

they use more than one substance.

What misconception do many individuals have about prenatal care? -

ANSWER ✔✔Many avoid prenatal care due to fear of legal

consequences and child protective services involvement.

What is a critical fact about the placenta in relation to substance

misuse? - ANSWER ✔✔The placenta is NOT a protective barrier;

substances can cross from the pregnant person to the fetus.

Why is the fetus more vulnerable to substance misuse effects? -

ANSWER ✔✔Due to an immature liver and enzymes, the fetus

cannot metabolize drugs effectively, leading to prolonged drug effects.

What nursing approach is recommended for pregnant individuals

misusing substances? - ANSWER ✔✔Provide nonjudgmental care,

build a trusting relationship, and offer emotional, social, and medical

support.

What are some effects of substance misuse on pregnancy? -

ANSWER ✔✔Increased risk of preeclampsia, preterm labor,

spontaneous abortion, low birth weight, and neurobehavioral problems.

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Institution
BSN 346
Course
BSN 346

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Uploaded on
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Number of pages
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Written in
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