Assessments for ETOH abuse
What is the Urine test used to detect alcohol in the blood
The ethyl glucuronide (EtG) test
What neonatal med eliminates diarrhea and improves feeding in neonates who are affected by substance abuse
Oral morphine
What is a priority nursing diagnosis for a mother with substance abuse
Imbalanced nutrition: less than body requirements
What is the neoate at risk for when mothers share needles with drug use
HIV, HEP B and C
What are neonate interventions to promote comfort
swaddling, low lighting, quiet environment, pacifiers
What Electrolyte imbalance would be a result of ETOH abuse
Depletion of Magnesium, Phosphate and Calcium
What medicaton reduces irritability and insomnia in neonates affected by substance abuse
What is the neonate at risk for after deivery when there is substance abuse
Risk for ineffective breastfeeding
Risk for aspiration
NAS - neonatal abstinence syndrome
What is the neonate at risk for with maternal abuse of heroin
SGA, meconium aspirations, SIDS, restlessness, agitation
What feeding interventions are done to promote nutritional needs in the neonate
sitting baby upright to prevent aspiration, high calorie formula, frequent small feeding, breastfeeding encouraged unless mother is positive for drugs
How would the FHR be affected by ETOH abuse in the mother
It causes bradycardia
What class of meds are used to treat neonates experiencing NAS from alcohol withdrawal
Benzodiazepines
What are the high risks for neonates born to mother with SUD
Child neglect, abuse, placement in foster care
Why should a mother continue taking methadone during pregnancy
A mother should continue methadone treatment to avoid signs and symptoms of withdrawal. It has been proven safe
What should be provided to the mother before discharge from the hospital in order to provide safe care for herself and the baby
referral to drug cessation programs, self help group, behavior therapy, resources for food and shelter
What labs are done to detect liver damage in a mother with ETOH abuse
Serum albumin, ALT and AST are labs that are drawn to detect liver damage
What class of meds are used to treat neonates experiencing NAS from opioid withdrawal
methadone
What are some of the affects of FASD - fetal alcohol spectrum disorder
birth defects, intellectual disorders, developmental disabilities
What birth defects do opioids cause in the neonate
hydrocephaly, spina bifida, glaucoma, congenital heart defects
What interventions can be done to help neonate develop a good sleep pattern
scheduled bathtime, massage, feed before bedtime, lullaby's, and rocking chair
What affect does ETOH abuse have on RBC's
It can either cause abnormally high or low levels affecting Blood Pressure and types of Anemia
What nonpharmacological methods are used to treat neonates experiencing withdrawal symptoms
What are specific affects of cocaine exposed newborns
fussy ,irritable, inconsolable, poor coordination of sucking/swallowing
What is the name of an assessment done on a neonate experiencing withdrawal symptoms
The Finnegan Scale - it assess 21 of the most common signs of drug withdrawal syndrome in a neonate
What are the 5 A's approach to help the mother in a serious attempt to discontinue substance abuse use
Ask: do they want to quit
Advise: encourage use of proven tx plans
Assess: Provide motivation for quitting
Assist: help mother in protecting fetus from negative affects
Arrange: schedule follow up visits to reinforce mothers commitment to quit