nurs 326: substance use in pregnancy
Study online at https://quizlet.com/_iz68x2
1. substance use during pregnancy: - prevalence: 15%
- risk factors: psychiatric disorders
- barriers to tx: less than 10% of pregnant women receive tx for their addiction, social stigma, labeling, guilt
- drug testing during pregnancy: no requirement in the US to test mother or fetus for presence of drugs
2. commonly abused drugs: - nicotine and caffeine: decreased placental perfusion
- alcohol: fetal alcohol syndrome
- marijuana: amotivational syndrome in user, increased carbon monoxide levels in mother cause decreased O2 to fetus
- cocaine: placental abruption, increased SIDS
- methamphetamine: IUGR and PTB
- opiates: IUGR, NAS scoring--> methadone, suboxone (infants is born w/ these drugs in system) newborns are often
born w/ withdrawals
3. NAS scoring system: - Assessed q two hours for the first 48 hours of life. Preferred to assess after a
feeding.
- If the average of three consecutive scores exceeds 8 medications may be needed.
- tremors, skin excoriation, jerks, convulsions, sweating, poor feeding, projectile vomiting, loose watery stools, elevated
RR
4. care management: - screening
- assessment: what kind of meds do you take (prescribed + OTC + caffeine + alcohol)
- collaborative care: methadone maintenance program, perinatal outreach project
- intrapartum and postpartum considerations
5. maybe missed slides:
1/1
Study online at https://quizlet.com/_iz68x2
1. substance use during pregnancy: - prevalence: 15%
- risk factors: psychiatric disorders
- barriers to tx: less than 10% of pregnant women receive tx for their addiction, social stigma, labeling, guilt
- drug testing during pregnancy: no requirement in the US to test mother or fetus for presence of drugs
2. commonly abused drugs: - nicotine and caffeine: decreased placental perfusion
- alcohol: fetal alcohol syndrome
- marijuana: amotivational syndrome in user, increased carbon monoxide levels in mother cause decreased O2 to fetus
- cocaine: placental abruption, increased SIDS
- methamphetamine: IUGR and PTB
- opiates: IUGR, NAS scoring--> methadone, suboxone (infants is born w/ these drugs in system) newborns are often
born w/ withdrawals
3. NAS scoring system: - Assessed q two hours for the first 48 hours of life. Preferred to assess after a
feeding.
- If the average of three consecutive scores exceeds 8 medications may be needed.
- tremors, skin excoriation, jerks, convulsions, sweating, poor feeding, projectile vomiting, loose watery stools, elevated
RR
4. care management: - screening
- assessment: what kind of meds do you take (prescribed + OTC + caffeine + alcohol)
- collaborative care: methadone maintenance program, perinatal outreach project
- intrapartum and postpartum considerations
5. maybe missed slides:
1/1
