WEEK 10 BSN 346 SUBSTANCE MISUSE IN PREGNANCY | QUESTIONS
AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION.
Question 1 of 7
How many ounces of alcohol are considered safe in the first trimester of
pregnancy?
18 to 22
12 to 16
0
4 to 8 Answer - 0
No amount of alcohol is considered safe at any point in pregnancy.
Question 2 of 7
Which statement by the health care provider is an example of coercive
behavior?
"Your child will be taken away if you continue to use marijuana in your
pregnancy."
"Your child may be born with multiple birth defects and learning disorders if
you continue to use alcohol while pregnant."
"The staff at the hospital will discuss all possible options for pain management
in labor if you have too much pain."
"Using alcohol and cocaine while pregnant is not a healthy behavior for you or
your baby." Answer - "Your child will be taken away if you continue to use
marijuana in your pregnancy."
,Stating that the patient's child will be taken away is a threatening statement
that suggests legal retaliation for maternal behaviors.
Question 3 of 7
Which signs would the nurse assess in a newborn exposed to tobacco while in
utero?
Select all that apply.
Flat nasal bridge
Tremors
Signs of prematurity
Open spinal cord defect
Colic/fussy behavior
A lower-than-expected weight Answer - Tremors
Signs of prematurity
Colic/fussy behavior
A lower-than-expected weight
Question 4 of 7
A pregnant woman is yawning excessively, is diaphoretic, and is experiencing
nausea, vomiting, diaphoresis, and diarrhea. The nurse suspects that the
woman may be withdrawing from which substance?
Opioids
Alcohol
Cocaine
Marijuana Answer - Opioids
Symptoms of opioid withdrawal include yawning, diaphoresis, rhinorrhea,
restlessness, tearing of the eyes, nausea, vomiting, and abdominal cramps.
,Question 5 of 7
Which methods of screening for substance abuse in a pregnant woman are
considered acceptable?
Select all that apply.
Verbally screening only at the first prenatal visit
Collecting a urine sample and sending without consent
Verbally using a validated screening tool
Asking the pregnant woman's significant other
Obtaining patient consent and collecting laboratory samples Answer - Verbally
using a validated screening tool
Using a validated tool improves screening accuracy.
Obtaining patient consent and collecting laboratory samples
Obtaining laboratory samples helps the nurse determine which substances a
patient may have used recently and determine care for the neonate and
mother. It is always important to obtain consent for toxicology by following
hospital protocol.
Question 6 of 7
Which complications of pregnancy are associated with substance misuse?
Select all that apply.
Vaginal bleeding
Gestational diabetes
Preterm labor
Intrauterine growth restriction (IUGR)
Umbilical cord prolapse
Congenital anomalies Answer - Vaginal bleeding
Preterm labor
, Intrauterine growth restriction (IUGR)
Congenital anomalies
Question 7 of 7
The laboring patient becomes verbally abusive when denied a cigarette to
relax. Which response by the nurse is most appropriate?
"I know this is scary and may be causing some anxiety, but I'll help you the best
way that I can."
"I'm sorry, but smoking isn't allowed inside the hospital."
"I'm sorry, but smoking is bad for you and the baby."
"Please don't talk to me like that—I'm here to help you." Answer - I know this
is scary and may be causing some anxiety, but I'll help you the best way that I
can."
The nurse is providing nonjudgmental therapeutic communication with the
patient
Mental Health Disorders During Pregnancy:
Question 1 of 7
Which statement by the nurse is an appropriate response when the pregnant
patient asks about the safety of psychiatric medication during pregnancy?
"The medications used to treat mental illness will cause birth defects, so you
should discontinue your antidepressants."
"Your mental wellness is an important part of pregnancy wellness, and
continuing your medication is sometimes necessary."
"All psychiatric medications have been proven to cross the placenta and cause
birth defects in babies."
"Your obstetrician should have enough information to prescribe your
antipsychotics without consulting with your psychiatrist." Answer - "Your
mental wellness is an important part of pregnancy wellness, and continuing
your medication is sometimes necessary."
AND ANSWERS | 2026 UPDATE | WITH COMPLETE SOLUTION.
Question 1 of 7
How many ounces of alcohol are considered safe in the first trimester of
pregnancy?
18 to 22
12 to 16
0
4 to 8 Answer - 0
No amount of alcohol is considered safe at any point in pregnancy.
Question 2 of 7
Which statement by the health care provider is an example of coercive
behavior?
"Your child will be taken away if you continue to use marijuana in your
pregnancy."
"Your child may be born with multiple birth defects and learning disorders if
you continue to use alcohol while pregnant."
"The staff at the hospital will discuss all possible options for pain management
in labor if you have too much pain."
"Using alcohol and cocaine while pregnant is not a healthy behavior for you or
your baby." Answer - "Your child will be taken away if you continue to use
marijuana in your pregnancy."
,Stating that the patient's child will be taken away is a threatening statement
that suggests legal retaliation for maternal behaviors.
Question 3 of 7
Which signs would the nurse assess in a newborn exposed to tobacco while in
utero?
Select all that apply.
Flat nasal bridge
Tremors
Signs of prematurity
Open spinal cord defect
Colic/fussy behavior
A lower-than-expected weight Answer - Tremors
Signs of prematurity
Colic/fussy behavior
A lower-than-expected weight
Question 4 of 7
A pregnant woman is yawning excessively, is diaphoretic, and is experiencing
nausea, vomiting, diaphoresis, and diarrhea. The nurse suspects that the
woman may be withdrawing from which substance?
Opioids
Alcohol
Cocaine
Marijuana Answer - Opioids
Symptoms of opioid withdrawal include yawning, diaphoresis, rhinorrhea,
restlessness, tearing of the eyes, nausea, vomiting, and abdominal cramps.
,Question 5 of 7
Which methods of screening for substance abuse in a pregnant woman are
considered acceptable?
Select all that apply.
Verbally screening only at the first prenatal visit
Collecting a urine sample and sending without consent
Verbally using a validated screening tool
Asking the pregnant woman's significant other
Obtaining patient consent and collecting laboratory samples Answer - Verbally
using a validated screening tool
Using a validated tool improves screening accuracy.
Obtaining patient consent and collecting laboratory samples
Obtaining laboratory samples helps the nurse determine which substances a
patient may have used recently and determine care for the neonate and
mother. It is always important to obtain consent for toxicology by following
hospital protocol.
Question 6 of 7
Which complications of pregnancy are associated with substance misuse?
Select all that apply.
Vaginal bleeding
Gestational diabetes
Preterm labor
Intrauterine growth restriction (IUGR)
Umbilical cord prolapse
Congenital anomalies Answer - Vaginal bleeding
Preterm labor
, Intrauterine growth restriction (IUGR)
Congenital anomalies
Question 7 of 7
The laboring patient becomes verbally abusive when denied a cigarette to
relax. Which response by the nurse is most appropriate?
"I know this is scary and may be causing some anxiety, but I'll help you the best
way that I can."
"I'm sorry, but smoking isn't allowed inside the hospital."
"I'm sorry, but smoking is bad for you and the baby."
"Please don't talk to me like that—I'm here to help you." Answer - I know this
is scary and may be causing some anxiety, but I'll help you the best way that I
can."
The nurse is providing nonjudgmental therapeutic communication with the
patient
Mental Health Disorders During Pregnancy:
Question 1 of 7
Which statement by the nurse is an appropriate response when the pregnant
patient asks about the safety of psychiatric medication during pregnancy?
"The medications used to treat mental illness will cause birth defects, so you
should discontinue your antidepressants."
"Your mental wellness is an important part of pregnancy wellness, and
continuing your medication is sometimes necessary."
"All psychiatric medications have been proven to cross the placenta and cause
birth defects in babies."
"Your obstetrician should have enough information to prescribe your
antipsychotics without consulting with your psychiatrist." Answer - "Your
mental wellness is an important part of pregnancy wellness, and continuing
your medication is sometimes necessary."
