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6 Cards in this Set
- Front
- Back
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Do drugs cross the placenta?
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Yes, almost all drugs cross the placenta and enter fetal circulation
Cocaine use has decreased but oxycontin use has increased |
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What are the risks to the fetus if the mother abuses drugs?
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Intrauterine asphyxia
(Maternal withdrawal can cause fetal withdrawal leading to asphyxia) (Abruptio placentae high with cocaine use) Intrauterine infection (Often maternal HIV, Hepatitis, STI's can cause newborn complications) Low Apgar scores (Maybe R/T asphyxia or meds during labor) Altered body weight (Depends on type of drug:) Heroin: Low Methadone: High |
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What complications can a newborn encounter due to drug dependency of the mother?
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Respiratory distress
(meconium aspiration) Jaundice (Methadone) (Lower incidence with heroin or cocaine) Withdrawal (Be familiar with newborn withdrawal symptoms) Congenital anomalies (Microencephaly, cardiac defects, genitourinary defects) Growth restriction Behavioral abnormalities (Decreased interactive behaviors) |
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What is the nursing assessment of the drug dependent newborn?
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Extensive history
(Social drug use, medical) Assess for congenital anomalies Assess for newborn withdrawal or neonatal abstinence syndrome Narcan is contraindicated (May cause severe s/s of narcotic abstinence syndrome and/or seizures) |
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What nursing interventions are to be used for the drug dependent newborn?
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Obtain urine drug screen
Monitor for hypothermia Monitor pulse, respirations q15 min until stable Administer small, frequent feedings IV therapy as needed Place in quiet, dim area Meds as ordered Right side-lying or semifowlers (aspiration) Monitor weight & diarrhea during withdrawal Swaddle with hands near mouth Offer pacifier for non-nutritive sucking |
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What kind of teaching should be given to the caregiver?
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Comforting irritable infant
Higher risk of SIDS Possible home apnea monitoring Newborn cues Breastfeeding is contraindicated due to transmission of drugs |
