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Marijuana use by a woman who is pregnant


A) might possibly interfere with fetal endocannabinoid function.
B) has been shown to have no effect on fetal endocannabinoid function.
C) might possibly interfere with fetal cardiac development.
D) has been shown to interfere with the development of the inner ear structures of the fetus.

E) A) and C)
F) None of the above

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A

One reason why neonatal exposure to alcohol or the drugs of abuse in the first trimester is potentially dangerous is because


A) this is a time of organ differentiation and rapid growth of these immature organs, making them especially vulnerable to toxins in the fetal circulation.
B) although the neonate's liver is fully developed, it is too small to cope with the doses of alcohol or illicit drugs used by an adult.
C) the fetus' liver can biotransform these compounds faster than maternal circulation can accept them for transport to the kidneys, forcing them to back up in the fetal circulation.
D) these compounds all increase maternal blood flow rates so much that the fetal circulation is overwhelmed and fetal blood pressure rises.

E) None of the above
F) B) and C)

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The symptoms of early narcotics withdrawal are


A) so distinct from those of narcotics addiction/withdrawal that most physicians can tell the difference immediately.
B) extremely similar to the symptoms of early pregnancy.
C) usually very different for a pregnant woman addicted to narcotics than for a woman of the same age who is pregnant but not addicted to narcotics.
D) more intense for the pregnant woman who is addicted to narcotics than for a woman of the same age who is pregnant but not addicted to narcotics.

E) B) and C)
F) All of the above

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Inhalant abuse during pregnancy seems to be connected to which of the following outcomes?


A) Fetal death
B) Ataxia following birth
C) Growth retardation
D) All of these answers

E) None of the above
F) A) and C)

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The abuse of Salvia Divinorum by a woman prior to and during pregnancy


A) is not recommended.
B) has been proven to have no effect on the fetus.
C) has about the same impact on fetal growth and development as does the abuse of cocaine.
D) is twice as dangerous to the fetus as the abuse of cocaine during pregnancy.

E) A) and B)
F) A) and C)

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According to your text, what percentage of women use alcohol during pregnancy?


A) 1.5 percent
B) 25 percent
C) 10.8 percent
D) 8.10 percent

E) A) and C)
F) A) and B)

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Discuss some of the general issues involving pregnancy and drug/alcohol use.

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Answered by ExamLex AI

Pregnancy and drug/alcohol use can have serious implications for both the mother and the developing fetus. Some general issues involving this topic include the increased risk of miscarriage, stillbirth, premature birth, and low birth weight for babies born to mothers who use drugs or alcohol during pregnancy. Additionally, substance abuse during pregnancy can lead to developmental delays, cognitive impairments, and behavioral problems in the child. There are also potential health risks for the mother, including an increased likelihood of high blood pressure, preeclampsia, and other pregnancy complications. Substance abuse during pregnancy can also lead to long-term health issues for the child, such as an increased risk of addiction and mental health disorders later in life. Furthermore, there are legal and social implications for pregnant women who use drugs or alcohol. In some cases, substance abuse during pregnancy can lead to legal intervention, such as child protective services becoming involved. There may also be social stigma and judgment from others, which can further isolate and marginalize pregnant women who are struggling with addiction. It's important for pregnant women who are struggling with substance abuse to seek help and support. There are resources available to provide assistance and treatment for addiction, as well as support for the unique challenges of pregnancy and parenting while in recovery. It's crucial for pregnant women to prioritize their health and the health of their baby by seeking help and making positive choices for their well-being.

Premature birth of maternal amphetamine use during pregnancy.


A) is a possible consequence
B) is usually seen in cases
C) is never seen in cases
D) is seen in about 50 percent of the cases

E) B) and D)
F) B) and C)

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When a pregnant woman ingests alcohol, the blood alcohol level of the fetus will


A) reach twice that of the mother's blood alcohol level within 30 minutes.
B) reach approximately the same level as the mother's in 15 minutes.
C) reach the same level as the mother's blood, but be biotransformed more rapidly by the fetus' liver and then eliminated from the fetal circulation.
D) only reach 15 percent of the maternal blood level.

E) All of the above
F) None of the above

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The authors do not recommend nicotine replacement therapy as a way to help pregnant smokers quit.

A) True
B) False

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Discuss the possible effects of smoking during pregnancy.

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Smoking during pregnancy can have seriou...

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What percentage of pregnant women answered positively when asked if they had used alcohol in the past 30 days in a study cited by your text?


A) 4.5 percent
B) 5.1 percent
C) 8.7 percent
D) 7.6 percent

E) All of the above
F) A) and D)

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In the not too distant past, opiate withdrawal for the infant born to a woman who was addicted to narcotics


A) had a 90 percent mortality rate.
B) caused the infant to eat more than normal infants of the same age.
C) did not result in a neonatal withdrawal syndrome as the narcotics were unable to cross the placental barrier to enter the fetal circulation.
D) was less intense than narcotics withdrawal for the mother, who was usually addicted to opiates longer than 9 months.

E) A) and D)
F) B) and D)

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According to your text, meet diagnostic criteria for admission to treatment for a substance use disorder.


A) 10 percent of all women
B) 10 percent of all women of childbearing age
C) 10 percent of women who are pregnant
D) 85 percent of all women of childbearing age

E) A) and B)
F) C) and D)

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The vast pool of research data addressing maternal amphetamine use during pregnancy


A) suggests that these compounds result in a baby that will be addicted to amphetamines following birth.
B) suggests that these compounds make the concurrent use of opioids by the mother less likely.
C) does not exist as this has not been the subject of much research in the clinical literature.
D) suggests that the long-term effects for the fetus are about the same as maternal opioid addiction during pregnancy.

E) A) and C)
F) A) and D)

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The concentration of THC, the active ingredient in marijuana, is found to be higher in the mother's breast milk than in the mother's blood level.


A) 1.5 times
B) 3 times
C) 4.5 times
D) 6 times

E) B) and C)
F) A) and B)

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Alcohol does not pass into a mother's breast milk.

A) True
B) False

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Aspirin use during pregnancy


A) has been accepted as standard practice except for women who have the "aspirin triad" of symptoms.
B) has been standard practice during the first two trimesters of pregnancy, but not after that.
C) is to be avoided except under a physician's supervision.
D) is found not to affect fetal blood development and is thus safe for the fetus.

E) None of the above
F) A) and C)

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It has been estimated that of the women who give birth each year in the U.S. smoke cigarettes, and did so during pregnancy.


A) 5-15 percent
B) 16-30 percent
C) 8-10 percent
D) 40­50 percent

E) None of the above
F) B) and D)

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B

Because of developmental immaturity in the liver and organs of elimination, the neonatal withdrawal syndrome for short- and intermediate-acting barbiturates


A) usually starts 10-14 days after delivery.
B) usually starts within the first 4 days following delivery.
C) requires exposure to barbiturate residue in maternal breast milk to be triggered.
D) is only seen if the mother has been abusing short-term barbiturates, as long-acting compounds are self- tapering and thus not a problem.

E) All of the above
F) A) and B)

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