As a powerful central nervous system stimulant, which of these substances can lead to miscarriage, preterm labor, placental separation (abruption), and stillbirth?

a. Heroin c. PCP
b. Alcohol d. Cocaine


ANS: D
Cocaine is a powerful CNS stimulant. Effects on pregnancy associated with cocaine use include abruptio placentae, preterm labor, precipitous birth, and stillbirth. Heroin is an opiate. Its use in pregnancy is associated with preeclampsia, intrauterine growth restriction, miscarriage, premature rupture of membranes, infections, breech presentation, and preterm labor. The most serious effect of alcohol use in pregnancy is fetal alcohol syndrome. The major concerns regarding PCP use in pregnant women are its association with polydrug abuse and the neurobehavioral effects on the neonate.

Nursing

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A study is examining the effect of a new antilipemic drug, compared with placebo, on lipoprotein levels in postmenopausal women

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Secondary prevention for cognitive impairment includes what activity?

a. Genetic counseling b. Avoidance of prenatal rubella infection c. Preschool education and counseling services d. Newborn screening for treatable inborn errors of metabolism

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The nurse knows that which medication is considered the mainstay of pharmacological intervention in the client with tuberculosis?

1. Isoniazid 2. Pyrazinamide (PZA) 3. Rifampin (Rifadin, Rimactane) 4. Ethambutol (Myambutol)

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