Misuse in Pregnancy 2026
Exam Questions and Answers |
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Question 1 of 7
How many ounces of alcohol are considered safe in the first trimester of
pregnancy?
18 to 22
12 to 16
0
4 to 8 - ANSWER ✔✔0
,No amount of alcohol is considered safe at any point in pregnancy.
Question 2 of 7
Which statement by the health care provider is an example of coercive
behavior?
"Your child will be taken away if you continue to use marijuana in your
pregnancy."
"Your child may be born with multiple birth defects and learning disorders
if you continue to use alcohol while pregnant."
"The staff at the hospital will discuss all possible options for pain
management in labor if you have too much pain."
"Using alcohol and cocaine while pregnant is not a healthy behavior for
you or your baby." - ANSWER ✔✔"Your child will be taken away if
you continue to use marijuana in your pregnancy."
Stating that the patient's child will be taken away is a threatening
statement that suggests legal retaliation for maternal behaviors.
Question 3 of 7
Which signs would the nurse assess in a newborn exposed to tobacco
while in utero?
Select all that apply.
,Flat nasal bridge
Tremors
Signs of prematurity
Open spinal cord defect
Colic/fussy behavior
A lower-than-expected weight - ANSWER ✔✔Tremors
Signs of prematurity
Colic/fussy behavior
A lower-than-expected weight
Question 4 of 7
A pregnant woman is yawning excessively, is diaphoretic, and is
experiencing nausea, vomiting, diaphoresis, and diarrhea. The nurse
suspects that the woman may be withdrawing from which substance?
Opioids
Alcohol
Cocaine
Marijuana - ANSWER ✔✔Opioids
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3
, Symptoms of opioid withdrawal include yawning, diaphoresis,
rhinorrhea, restlessness, tearing of the eyes, nausea, vomiting, and
abdominal cramps.
Question 5 of 7
Which methods of screening for substance abuse in a pregnant woman
are considered acceptable?
Select all that apply.
Verbally screening only at the first prenatal visit
Collecting a urine sample and sending without consent
Verbally using a validated screening tool
Asking the pregnant woman's significant other
Obtaining patient consent and collecting laboratory samples -
ANSWER ✔✔Verbally using a validated screening tool
Using a validated tool improves screening accuracy.
Obtaining patient consent and collecting laboratory samples
Obtaining laboratory samples helps the nurse determine which
substances a patient may have used recently and determine care for the