How affect marijuana and alcohol the fetus

Indications:

Case Study Chapter 20 #2;Three References, APA format double spaced. Make sure you use your references appropriately in the body of your paper.5 Paragraphs.

The paper demonstrates that the author fully understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideasThe topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by statement of a position or hypothesis. In-depth discussion & elaboration in most sections of the paper. Includes 5 paragraphs or more. No spelling &/or grammar mistakes. 3 current sources, of which at least 3 are peer review journal articles or scholarly books. Sources include both general background sources and specialized sources. Special interest sources and popular literature are acknowledged as such if they are cited. All web sites utilized are authoritative. Cites all data obtained from other sources. APA citation style is used in both body and bibliography. No plagiarism

Case study:

Nikki is a 17-year-old G1 P0 at 33 week’s gestation. Nikki comes to the clinic today for her prenatal visit and you notice that her hair and clothing have the distinct odor of marijuana and tobacco smoke. You directly ask Nikki if she has been taking any other drugs besides marijuana. Nikki is surprised by the question and denies it. When you explain that you can smell it in her hair and on her clothing, she starts to cry and says, “Please don’t take my baby away from me” After reassurance, Nikki further admits to sporadic binge alcohol consumption and smoking “pot” and cigarettes. She relates that she also consumes four to five caffeinated beverages per day.

Describe how cigarette smoking, marijuana use, binge alcohol consumption, and excessive caffeine intake can affect Nikki’s pregnancy?

What possible affects are there to Nikki’s baby from the maternal ingestion of these substances?

Describe the nursing care you would provide for Nikki.