FAS and NAS

Question 0

Alcohol passes to the fetus via the placenta within how long?

Answer 0

Seconds

Question 1

What is the most teratogen and the leading cause of mental retardation is?

Answer 1

Alcohol

Question 2

A mothers blood alcohol increases quick but a fetal blood alcohol levels decreases?

Answer 2

Slowly

Question 3

The risk for FAS is higher in what 3 ethnic groups?

Answer 3

Alaskans
American Indians
African Americans

Question 4

Wide set eyes, palpebral fissures (small eye openings), strabismus (cross-eyed), ptosis (drooping), myopia, nose bridge is broad and cheeks are flattened are all characteristics of a?

Answer 4

FAS baby

Question 5

FAS babies are at risk more in what trimester for miscarriage, stillbirth, congenital anomalies, and death?

Answer 5

1st trimester

Question 6

Murmurs, atrial/septal defects, ventricular septal defects are likely in

Answer 6

FAS babies

Question 7

Some CNS effects are mental retardation, microcephaly, low tone, seizures, poor hand-eye coordination, and speech and language are affected in

Answer 7

FAS babies

Question 8

Drinking alcohol should be stopped how many months before?

Answer 8

3 months before conception

Question 9

The APGAR is lower on a FAS baby because they have what?

Answer 9

Lower tone

Question 10

Apnea, behavior irregularities, diarrhea, dysmature swallowing, excessive crying, excessive/frantic sucking, excoriation skin, fever, high-pitched cry, hyperreflexia, hypertonia, irritability/restlessness, lacrimation, nasal congestion, poor feeding, seizures, skin mottling, sleep problems, sneezing x3, sweating, tachypnea, tremors, vomiting, wakefulness, weight loss or failure to gain weight, and yawning x 3 are indicative signs of what?

Answer 10

Neonatal withdrawal

Question 11

Easily crosses the placenta and the fetal drug concentration is 50% of moms

Answer 11

Narcotics

Question 12

What is the percentage of drug use in expecting moms?

Answer 12

20%

Question 13

This drug is highly addictive, it is a soluble fat that crosses the placenta and causes maternal vasoconstriction (decreased fetal blood flow) resulting in low birth weight, premature, risk for SIDS, IUGR, and eventfully learning and behavioral issues.

Answer 13

Cocaine

Question 14

Cocaine is converted to this in the placenta and becomes more potent because it becomes water solvable. The fetus is re-exposed to it from drinking the amniotic fluid

Answer 14

Norcocaine

Question 15

This drug causes LBW, IUGR, preterm labor, and behavioral problems

Answer 15

Marijuana

Question 16

This drug causes SIDS, IUGR, reduced brain growth, and development effects

Answer 16

Methamphetamine

Question 17

What is the substitute used for opiates to prevent withdrawal in the mom and decrease euphoric side effects?

Answer 17

Methadone (subutex, buprenorphine)

Question 18

These set of behaviors result from fetal exposure to substances in pregnancy (illicit or prescriptions)

Answer 18

Neonatal Abstinence Syndrome (NAS)

Question 19

A shorter span of meds equals ______ withdrawal

Answer 19

Shorter

Question 20

NAS causes what 3 things?

Answer 20

CNS irritability
Overactive autonomic system
GI disability

Question 21

How long until withdrawal without narcotics?

Answer 21

72 hours

Question 22

Mom can not stop taking meds, she needs to be regulated because of why?

Answer 22

It causes intrauterine withdrawal

Question 23

Respiratory distress syndrome is almost imminent when?

Answer 23

After birth

Question 24

This may not be given and will cause the baby to seize because of abrupt withdrawal.

Answer 24

Narcan

Question 25

Moms on narcotics cannot breast feed unless they are on what medication?

Answer 25

Methadone

Question 26

What is the scoring tool used to measure withdrawal symptoms?

Answer 26

Modified Finnegan Abstinence scoring tool

Question 27

If baby is withdrawing from methadone they may be given

Answer 27

Oral morphine

Question 28

Meconium can be tested and tell drugs were present how far back?

Answer 28

5 months

Question 29

The baby’s average stay in the hospital is how many days?

Answer 29

25 days

Question 30

Frequent small feeding are necessary for how many calories per ounce?

Answer 30

20-24cal/oz

Question 31

What is the main goal for withdrawing baby?

Answer 31

Soothe 
Dim lights
Quiet 
Moby wrap - Long wrap that goes around mom 
Swaying bassinets 
Roll blankets for boundaries