WEEK 10 BSN 346 SUBSTANCE MISUSE
IN PREGNANCY EXAM QUESTIONS AND
ANSWERS 100% PASS 2026/2027
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 - ANS 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." -
ANS "Your child will be taken away if you continue to use marijuana in your pregnancy."
@2026 ALLRIGHTS RESERVED 1
,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 - ANS 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 - ANS Opioids
Symptoms of opioid withdrawal include yawning, diaphoresis, rhinorrhea, restlessness, tearing
of the eyes, nausea, vomiting, and abdominal cramps.
@2026 ALLRIGHTS RESERVED 2
,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 - ANS 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 - ANS Vaginal bleeding
Preterm labor
@2026 ALLRIGHTS RESERVED 3
, 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." - ANS 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." - ANS "Your mental wellness is an important part of
pregnancy wellness, and continuing your medication is sometimes necessary."
Many patients are encouraged to continue their medications throughout pregnancy under the
guidance of a health care provider.
@2026 ALLRIGHTS RESERVED 4
IN PREGNANCY EXAM QUESTIONS AND
ANSWERS 100% PASS 2026/2027
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 - ANS 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." -
ANS "Your child will be taken away if you continue to use marijuana in your pregnancy."
@2026 ALLRIGHTS RESERVED 1
,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 - ANS 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 - ANS Opioids
Symptoms of opioid withdrawal include yawning, diaphoresis, rhinorrhea, restlessness, tearing
of the eyes, nausea, vomiting, and abdominal cramps.
@2026 ALLRIGHTS RESERVED 2
,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 - ANS 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 - ANS Vaginal bleeding
Preterm labor
@2026 ALLRIGHTS RESERVED 3
, 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." - ANS 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." - ANS "Your mental wellness is an important part of
pregnancy wellness, and continuing your medication is sometimes necessary."
Many patients are encouraged to continue their medications throughout pregnancy under the
guidance of a health care provider.
@2026 ALLRIGHTS RESERVED 4
