Exam 31: Mental Health Disorders and Substance Abuse

Reports have linked third trimester use of selective serotonin uptake inhibitors (SSRIs)with a constellation of neonatal signs.The nurse is about to perform an assessment on the infant of a mother with a history of a mood disorder.Which signs and symptoms in the neonate may be the result of maternal SSRI use? (Select all that apply).

While providing care to the maternity client,the nurse should be aware that one of these anxiety disorders is likely to be triggered by the process of labor and birth.Which disorder fits this criterion?

As part of the discharge teaching,the nurse can prepare the mother for her upcoming adjustment to her new role by instructing her regarding self-care activities to help prevent PPD.Which statement regarding this condition is most helpful for the client?

During an inpatient psychiatric hospitalization,what is the most important nursing intervention?

Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women.The 4 Ps Plus is a screening tool specifically designed to identify the need for a more in-depth assessment.Which are the correct components of the 4 Ps Plus? (Select all that apply).

A pregnant woman who abuses cocaine admits to exchanging sex to finance her drug habit.This behavior places the client at the greatest risk for what?

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?

Which is the most accurate description of PPD without psychotic features?

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

A woman at 24 weeks of gestation states that she has a glass of wine with dinner every evening.Why would the nurse counsel the client to eliminate all alcohol?

Which substance used during pregnancy causes vasoconstriction and decreased placental perfusion,resulting in maternal and neonatal complications?

With one exception,the safest pregnancy is one during which the woman is drug and alcohol free.What is the optimal treatment for women addicted to opioids?

Despite warnings,prenatal exposure to alcohol continues to far exceed exposure to illicit drugs.Which condition is rarely associated with fetal alcohol syndrome (FAS)?

According to research,which risk factor for PPD is likely to have the greatest effect on the client postpartum?

A client with a history of bipolar disorder is called by the postpartum support nurse for follow-up.Which symptoms would reassure the nurse that the client is not experiencing a manic episode?

When a woman is diagnosed with postpartum depression (PPD)with psychotic features,what is the nurse's primary concern in planning the client's care?

The use of methamphetamine (meth)has been described as a significant drug problem in the United States.The nurse who provides care to this client population should be cognizant of what regarding methamphetamine use?