What supplement can be taken to decrease the risk of SpinaBifida? ANS Folic Acid
What is the best diagnostic tool for substance exposure and can show length of exposure? ANS
Meconium
Describe the characteristics of a fetal alcohol syndrome baby ANS flat face
short nose
brain abnormalities
heart abnormalities
mental retardation
low birth weight
When using tobacco products during pregnancy, it decreases oxygen to the fetus, replacing it with
Carbon monoxide. What are risk factors associated with tobacco use during pregnancy? ANS low
birth weight
Risk for SIDS
Risk for ADHD
Risk for spontaneous abortion, preterm labor, and placenta previa
What is the safe quantity of alcohol during pregnancy? ANS No safe quantity
Which artificial sweetner should be avoided during pregnancy (1) and which are okay to use (2) and
(3)? ANS 1) Sacrine
2) Equal
3) Splenda
What is the daily limit of caffeine during pregnancy? ANS 300mg/day
,List s/s of cocaine/heroine babies. ANS high pitched shrill cry
seizures and tremors
tachypnea
nasal congestion
projectile vomit and diarrhea
uncoordinated/excessive sucking
How should a cocaine baby be rocked? ANS Vertically
What should you avoid with cocaine babies. ANS AVOID MAKING EYE CONTACT
Name interventions, meds, and/or other medical care that may occur with a cocaine baby. ANS
Vertical rock
Pacifier
anti-seizure meds
Narcotics
NG tube: small/frequent feedings
No eye contact
Define Reproductive loss: ANS a loss of baby during perinatal period that results in grief
List the types of reproductive loss. ANS 1) inability to conceive
2) Spontaneous abortion
3) Congenital anomalies
4) Fetal demise
5) Neonatal death
Define perinatal death: ANS death of the offspring occurring during late pregnancy (22 weeks
and greater), during childbirth, and up to seven completed days of life
, What phrases and words should the nurse avoid during a reproductive loss/perinatal death? ANS
"It is God's will"
"You can always have another"
"There was a problem with this baby"
"There's always next time"
List influencing factors on mood/affect of the pregnant woman. ANS age
pregnancy planned or not
financial stability
complications with the newborn
Is postpartum blues normal? ANS Yes
How is postpartum blues treated? ANS No treatment, tends to go away on its on, normally
subsides after a few weeks
Who normally experiencing postpartum blues the WORST? ANS First time moms
List s/s of postpartum blues: ANS easily tearful
feelings of sadness
sleep pattern disturbances
mood swings
feeling of inadequacy
forgetfulness
anxiety
What should you teach your patient and her partner about postpartum blues? ANS This is
NORMAL