NUR 1025 Exam 3 Review – Questions With In-
depth Solutions
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Terms in this set (253)
The patient states that they - We do not know how much alcohol is acceptable for
have a glass of wine with the fetus, therefore no alcohol during pregnancy is safe
their meals in the evening, - Risk for fetal alcohol syndrome, altered growth, IUGR
how should you counsel - Many different congenital anomalies
her?
What substance can lead to Cocaine (any CNS stimulant)
miscarriages, pre-term
labor, placental abruption,
and stillbirth?
- IUGR and low birth weight
- Preterm birth
What effect can smoking
- Respiratory issues/asthma later in life
have on a fetus?
- Cognitive impairments such as ADHD
- Increased risk for abruptio placentae
- Craniofacial dysmorphologies
What 3 categories are
- Skinny facial features
associated with fetal
- Impaired growth
alcohol syndrome?
- CNS abnormalities
Fetal alcohol syndrome (FAS), alcohol-related
Fetal Alcohol Spectrum
neurodevelopment (ARND), and alcohol-related birth
Disorder
defects (ARBD)
,A woman presents to labor Alcohol
and delivery in pre-term
labor, she has not had any
prenatal care. The infant
has the following
characteristics: small for
gestational age,
microcephalic, small eyes,
and a thin upper lip. What
drug do you suspect she
has been abusing?
What should you include in 5 S's: sucking, swaddling, side/stomach lying, shushing,
a plan of care for an infant swaying
suffering from drug
withdrawal?
What drug is most common Alcohol
cause of preventable
cognitive impairment when
abused during pregnancy?
At the first week of life an - Syphilis
infant has a copper- May also see:
colored rash on their palms - Enlarged liver/spleen Irritability
and around their anus and - FTT Cracking of skin where rash is
mouth. What is their - Fever Skeletal abnormalities
diagnosis?
When are FAS symptoms When the child starts school developmental delays
usually identified? present themselves
Infants whose moms have Neonatal abstinence scores; guides care
abused drugs during
pregnancy require a multi-
system approach. What is
the first step in providing
care?
, You are doing an Even OTC meds, herbs, and natural remedies can be
educational session with a teratogenic; read labels and consult with pharmacist
group of pregnant women.
They ask about taking
prescription and over-the-
counter medication during
pregnancy. How should
you respond?
An infant whose mom - Tightly swaddle the infant
abused heroin is admitted - Morphine tapering or buprenorphine, sucrose, 5 s's
to the NICU, what kind of - DO NOT GIVE NARCAN, can cause extreme
nursing care will you withdrawal symptoms and pain
provide?
The infant is showing signs Narcan; increases effects of withdrawal, puts stress on
of neonatal abstinence body
syndrome. What drug is
contraindicated in neonatal
abstinence syndrome?
A mother states that she Encourage her to breastfeed since breastfeeding is
smoked during the protective for the infant, then counsel her on quitting
pregnancy and plans to smoking
continue after discharge,
she also plans to
breastfeed. How would you
counsel her?
An infant is admitted to the Urine toxicity screen (drug screen)
NICU. The mother has not
had prenatal care. The
infant is seizing, constantly
mouths for food, and has a
high-pitched cry. What test
do you ask the doctor for?
- Excessive hunger (constant rooting and mouthing)
- Persistent high-pitched cry
What signs are associated
- Inconsolable
with neonatal abstinence
- Irritable
syndrome?
- Seizing, tremors/shaking
*Think FLACC*
depth Solutions
Save
Terms in this set (253)
The patient states that they - We do not know how much alcohol is acceptable for
have a glass of wine with the fetus, therefore no alcohol during pregnancy is safe
their meals in the evening, - Risk for fetal alcohol syndrome, altered growth, IUGR
how should you counsel - Many different congenital anomalies
her?
What substance can lead to Cocaine (any CNS stimulant)
miscarriages, pre-term
labor, placental abruption,
and stillbirth?
- IUGR and low birth weight
- Preterm birth
What effect can smoking
- Respiratory issues/asthma later in life
have on a fetus?
- Cognitive impairments such as ADHD
- Increased risk for abruptio placentae
- Craniofacial dysmorphologies
What 3 categories are
- Skinny facial features
associated with fetal
- Impaired growth
alcohol syndrome?
- CNS abnormalities
Fetal alcohol syndrome (FAS), alcohol-related
Fetal Alcohol Spectrum
neurodevelopment (ARND), and alcohol-related birth
Disorder
defects (ARBD)
,A woman presents to labor Alcohol
and delivery in pre-term
labor, she has not had any
prenatal care. The infant
has the following
characteristics: small for
gestational age,
microcephalic, small eyes,
and a thin upper lip. What
drug do you suspect she
has been abusing?
What should you include in 5 S's: sucking, swaddling, side/stomach lying, shushing,
a plan of care for an infant swaying
suffering from drug
withdrawal?
What drug is most common Alcohol
cause of preventable
cognitive impairment when
abused during pregnancy?
At the first week of life an - Syphilis
infant has a copper- May also see:
colored rash on their palms - Enlarged liver/spleen Irritability
and around their anus and - FTT Cracking of skin where rash is
mouth. What is their - Fever Skeletal abnormalities
diagnosis?
When are FAS symptoms When the child starts school developmental delays
usually identified? present themselves
Infants whose moms have Neonatal abstinence scores; guides care
abused drugs during
pregnancy require a multi-
system approach. What is
the first step in providing
care?
, You are doing an Even OTC meds, herbs, and natural remedies can be
educational session with a teratogenic; read labels and consult with pharmacist
group of pregnant women.
They ask about taking
prescription and over-the-
counter medication during
pregnancy. How should
you respond?
An infant whose mom - Tightly swaddle the infant
abused heroin is admitted - Morphine tapering or buprenorphine, sucrose, 5 s's
to the NICU, what kind of - DO NOT GIVE NARCAN, can cause extreme
nursing care will you withdrawal symptoms and pain
provide?
The infant is showing signs Narcan; increases effects of withdrawal, puts stress on
of neonatal abstinence body
syndrome. What drug is
contraindicated in neonatal
abstinence syndrome?
A mother states that she Encourage her to breastfeed since breastfeeding is
smoked during the protective for the infant, then counsel her on quitting
pregnancy and plans to smoking
continue after discharge,
she also plans to
breastfeed. How would you
counsel her?
An infant is admitted to the Urine toxicity screen (drug screen)
NICU. The mother has not
had prenatal care. The
infant is seizing, constantly
mouths for food, and has a
high-pitched cry. What test
do you ask the doctor for?
- Excessive hunger (constant rooting and mouthing)
- Persistent high-pitched cry
What signs are associated
- Inconsolable
with neonatal abstinence
- Irritable
syndrome?
- Seizing, tremors/shaking
*Think FLACC*
