A careful review of the literature on the various recreational and illicit drugs reveals that:
a. More longer-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs.
b. Heroin and methadone cross the placenta; marijuana, cocaine, and phencyclidine (PCP) do not.
c. Mothers should discontinue heroin use (detox) any time they can during pregnancy.
d. Methadone withdrawal for infants is less severe and shorter than heroin withdrawal.
ANS: A
Studies on the effects of marijuana and cocaine use by mothers are somewhat contradictory. More long-range studies are needed. Just about all these drugs cross the placenta, including marijuana, cocaine, and PCP. Drug withdrawal is accompanied by fetal withdrawal, which can lead to fetal death. Therefore, detoxification from heroin is not recommended, particularly later in pregnancy. Methadone withdrawal is more severe and more prolonged than heroin withdrawal.
You might also like to view...
A 40-year-old patient had an annual physical exam with routine lab tests. The patient's lab values include the following:
Hgb 13.8 g/dL Hct 40% BG fasting 146 mg/dL Triglycerides 200 mg/dL Total cholesterol 231 mg/dL LDL 175 mg/dL HDL 30 mg/dL The client was counseled to begin an exercise and diet regime for his health. After implementing healthy lifestyle changes 6 months ago, follow-up lab tests were drawn. Which of the following lab values indicate that the changes have been effective? A) Triglycerides elevated to 210 mg/dL B) LDL level decreased to 120 mg/dL C) Hgb decreased to 12.3 g/dL D) HDL increased to 35 mg/dL
In explaining the concept of chronic illness, the nurse uses the example of a patient who has:
1. acne. 2. appendicitis. 3. heart attack. 4. asthma.
Sources of physiologic stress in the acutely ill include (Select all that apply.)
a. hypotension. b. hypoxia. c. fever. d. neurologic deficits. e. eupnea.
Transvaginal ultrasonography is often performed during the first trimester. A 6-week-gestation client expresses concerns over the necessity for this test
The nurse should explain that this diagnostic test may be necessary to determine which of the following? (Select all that apply.) a. Multifetal gestation b. Bicornuate uterus c. Presence and location of pregnancy d. Amniotic fluid volume e. Presence of ovarian cysts