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The researchers determined childrens nicotine levels using blood samples taken between 2017 and 2020

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Nursing Problem Priorities The following are the nursing priorities for patients on substance abuse during pregnancy: Ensure maternal and fetal safety Provide non-judgmental and supportive care Assess and manage withdrawal symptoms Ensure access to appropriate prenatal care Promote healthy lifestyle choices Facilitate substance abuse treatment referrals Advocate for the rights and best interests of the mother and baby Nursing Assessment Assess for the following subjective and objective data: Changes in appetite or sudden weight loss/gain Poor personal hygiene and neglect of physical appearance Bloodshot or glassy eyes, dilated or constricted pupils Slurred speech or impaired coordination Frequent mood swings or noticeable changes in behavior Social withdrawal or isolation from friends and family Financial difficulties or unexplained borrowing of money Neglecting responsibilities, such as missing work or school Secretive behavior or lying about activities and whereabouts Increased tolerance or needing larger amounts of the substance Withdrawal symptoms when attempting to stop or reduce substance use Engaging in risky behaviors, such as driving under the influence Experiencing legal problems related to substance use Relationship difficulties or conflicts with loved ones Neglecting prenatal care or missing appointments Nursing Diagnosis Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with substance abuse during pregnancy based on the nurses clinical judgment and understanding of the patients unique health condition