17 Care of Mother and Child at Risk or with
PHINMÀ EDUCATION Problems(Acute and Chronic)
Module#3 Student Activity Sheet
Name: Class number.
Section: Schedule: Date:
Lesson Title: CARE OF THE HIGH-RISK PREGNANT CLIENT Materials:
(PRE-GESTATIONAL CONDITIONS-SUBSTANCE ABUSE)
Pen, paper, index card, book, and class List
Learning Targets:
At the end of the module, students will be able to:
References:
1. Define types and effects of substance abuse to pregnancy,
including preexisting factors that contribute to its
development such as cardiovasculardisease. Piliteri, Adele and Silbert-Flagg, JoAnne
2. Integrate knowledge of substance abuseto nursing process (2018) Maternaland Child Health Nursing, 8th
to achieve quality maternal and child health nursing care. Edition. USA: Lippincott Williams and Wilkins
A. LESSON PREVIEWIREVIEW
Instruction:True or False. Write T if the statement is true and F if false.
1. Vomiting decreases CHO intake link to metabolic acidosis
2. The mother has gestational Diabetes Mellitus if FBS>95 or 1 result of OGTT s high.
3. Vaginal delivery is preferred
4. Plan to deliver birth weight 36-40 weeks when fetus is mature enough but not too large to cause CPD.
5. Norplant or progestin only pills(minipills) may be used safelyby diabetic womern
B. MAIN LESSON
Substance Abuse is the inability to meet major role obligations, increase in legalproblems or risk-taking behavior, or
exposueto hazardous situations due to an addicting substance.
Substancedependentif she has withdrawal symptomsafter discontinuation ofthe substance
Thesesubstances are usually of low molecular weight & can readily cross the placenta; the fetus has 50% drug
concentration as that ofthe mother
Common substances abused:
1. COcaine
2. amphetamines
3. marijuana
4. alcohol
5. inhalants
6. opiates
7. phencyclidine
[Link] is most frequently abused drug during pregnancy
Causesextreme vasoconstriction severely compromising fetal circulation leadingto premature separation of
the placenta resulting to preterm labor or fetal death.
Fetal withdrawal symptoms of COCAINE:
tremulousness
/ irritability
muscle rigidity
learning defects (later in life)
hemorrhage
intracranial
Detected by urinalysis
THIS DOCUMENTIS THE PROPERTY OF PHINMA EDUCATION
18 Care of Mother and Child at Risk or with
P INMA FI UCATICON Problems(Acute and Chronic)
Module #3 Student Activity Sheet
Name: Class number:
Section: Schedule: Date:
CocaineUse
Amphetamines-methamphetamines (speed)
has effects like cOcaine
Newborn symptoms:
jitteriness.
poor feeding.
growth restriction
[Link] or hashish
When smoked causes tachycardia & a sense of well-being.
Used to counteract nausea in early pregnancy
Effects:
1 loss of short-term memory
2 reduced milk production
3 incidence or respiratory infection
4. excretion of drug in breast milk
Phencyclidine (PCP)
animal tranquilizer frequently used as a street drug
increases cardiac output & gives a sense of euphoria
causes hallucinations (flashbackepisodes)
tends to leave the maternal circulation concentrate & in fetal cells
[Link] Agonists
Used for pain (morphine or meperidine),cough suppression (codeine);is a potent analgesic and provides
euphoric effect.
HEROIN
Main opiate used recreationally & is used ID (skin-popping), by snorting or |V (shooting).
Produces immediate but short-lived euphoria followed by sedation.
Withdrawal symptoms
1. Nauseaand Vomiting
2. Diarhea
3. abdominal pain
4. Hypertension
5. Restlessness
6. Shivering
7 Insomnia
8. body aches
9. muscle jerks
Fetal effects:
Small for GestationalAge
increased incidernce of fetal distress
meconium aspiration
Management:
Methadone maintenance program during pregnancy
5. Inhalants
THIS DOCU?AENT S THE PROPERTY O tAA t(:A.. tLN
19 Caro of Mother and Chlld at Risk or with
PHINMA FOUCAION: Problems(Acute and Chronic)
Module #3 Student Actlvity Sheet
Name: Class number:
Section: Schedule: Date:
Airplane glue,cooking sprays,computer keyboard cleaner
Refer to sniffing or huffing of aerosol drugs
May lead to severe cardiac and respiratory irregularities
May limit fetal 02 supply
6. Alcohol
Causes cognitive challenges and memory deficits
Fetal alcohol Syndrome is a condition in a child that results from alcohol exposure during the mother's pregnancy.
Fetal alcohol syndrome causes brain damage and growth problems.
CHECK FOR UNDERSTANDING
You wili answerand rationalize thjs by yourself. This will be recorded asyour quiz. One (1) point will be given to correct
answer and another one (1) point forthe coect ratio. Superimpositions or erasures in you answer/ratio is not allowed.
1.A newborm has a condition that results from alcohol exposure during the mother's pregnancy that causes brain damage
and growth problems. Which of the following condition does the newborn has?
A. Substance Abuse
B. Fetal Alcohol Syndrome
C. Drug Abuse
D. HIVIAIDS
Answer:
Rationale:
[Link] 18-week pregnant client was caught sniffing cooking spray at the Female comfort room You know using this type of
drug may
lead to severe cardiac and respiratory irregularities and may limit fetal oxygen [Link] of the following
does the pregnant client is using?
[Link]
B. Marijuana
C. Phencyclidine
D. Inhalants
Answer:
Rationale:
3. A 24-week pregnant client is using a drug recreationally she use it by "snorting". What drug does the client is using?
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
Answer:
Rationale:
4. A 12-week pregnant client is smoking a weed". You know that this type of substance that when smoked causes
tachycardia & a sense of well-being and is used to counteract nausea in early pregnancy.
A. Heroin
B. Marijuana
C. Phencyclidine
D. Inhalants
Answer:
THIS DOCUMENTIS THE PROPERTY UF ,tvMA ELLAT N
21 Care of Mother and Child at Risk or with
Problems (Acute and Chronic)
INMA F{OLICAT ION
Module #3 Student Activity Sheet
Name Class number:
Section: Schedule: Date:
C. Meconium aspiration
D. Restlessness
Answer:
Rationale:
10. A pregnant client asked you what the effects of Phencyclidine (PCP) are. You answered the following, EXCEPT:
A. increases cardiac output
B. gives a sense of euphoria
C. loss of short-term memory
D. causes hallucinations
Answer:
Rationale:
C. LESSON WRAP-UP
AL Activity: Muddiest Point
In today's session,what was least clear to you?
TiH eCUMENT IS THE PRCFERTY F P4NMA ETUCAIION