The nurse is planning care for a pregnant patient prone to substance abuse. When the patient states, "My baby isn't getting my drugs, I am," how does the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "Most illicit drugs will cross the placenta and hurt the baby."
2. "Drugs may work longer in your baby."
3. "Some drugs result in your baby not growing enough."
4. "You are correct. You are far enough along in your pregnancy that drugs will not harm your baby."
5. "If you continue to take drugs, it will make you have a very irritable infant."
1,2,3
Rationale 1: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms.
Rationale 2: Because the fetus lacks mature metabolic enzymes and efficient excretion mechanisms, drugs will have a prolonged duration of action within the unborn child.
Rationale 3: Some drugs result in intrauterine growth retardation.
Rationale 4: The effect the drug has on the fetus will depend on the stage of fetal development. There is a greater potential for harm during the first trimester, but nutrients to the fetus can be compromised by drug abuse during the latter stages of pregnancy.
Rationale 5: While withdrawal can cause irritability in infants born to drug addicts, the risk for irritability is not the reason for abstaining from drug use during pregnancy.
Global Rationale: Most illicit drugs cross the placenta and can cause premature birth, low birth weight, birth defects, and withdrawal symptoms. Because the fetus lacks mature metabolic enzymes and efficient excretion mechanisms, drugs will have a prolonged duration of action within the unborn child. Some drugs result in intrauterine growth retardation. The effect the drug has on the fetus will depend on the stage of fetal development. While withdrawal can cause irritability in infants born to drug addicts, the risk for irritability is not the reason for abstaining from drug use during pregnancy. There is a greater potential for harm during the first trimester, but nutrients to the fetus can be compromised by drug abuse during the latter stages of pregnancy.
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