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.