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.
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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.
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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.
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Multiple Choice
A) Fetal death
B) Ataxia following birth
C) Growth retardation
D) All of these answers
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Multiple Choice
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.
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A) 1.5 percent
B) 25 percent
C) 10.8 percent
D) 8.10 percent
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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
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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.
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True/False
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A) 4.5 percent
B) 5.1 percent
C) 8.7 percent
D) 7.6 percent
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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.
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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
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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.
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A) 1.5 times
B) 3 times
C) 4.5 times
D) 6 times
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True/False
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Multiple Choice
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.
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A) 5-15 percent
B) 16-30 percent
C) 8-10 percent
D) 4050 percent
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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.
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