Pregnancy and substance use

Question 1

Dose of methadone advised during pregnancy

Answer 1

15mg/day

Question 2

Neonatal effects of cocaine taken while pregnant

Answer 2

Small for gestational age babies
Microcephaly

Question 3

Neonatal effects of heroin taken while pregnant

Answer 3

Stillbirth
Premature birth
Low birth weight
Microcephaly
Neonatal withdrawal

Question 4

Safest period in pregnancy to undergo opioid withdrawal

Answer 4

Second trimester

Question 5

Treatment of choice for a new presentation of opioid dependence during pregnancy

Answer 5

Stabilisation onto methadone

Question 6

Risk of opioid detoxification in the first trimester of pregnancy

Answer 6

Spontaneous abortion

Question 7

Risks of opioid detoxification in the third trimester of pregnancy

Answer 7

Preterm deliver
Foetal distress
Stillbirth

Question 8

Suggested rate of reduction of methadone is detoxification is requested in pregnancy

Answer 8

Reduce by 2-3mg every 3-5 days

Question 9

Neonatal withdrawal syndrome associated with irritability, high pitched cries, sneezing, yawning, diarrhoea, and fever

Answer 9

Opioid

Question 10

Opioid treatments most appropriate for a breastfeeding mother

Answer 10

Methadone
Buprenorphine

Question 11

Maximum advised amount of alcohol per week during pregnancy

Answer 11

0 units

Question 12

Presentation at birth of foetal alcohol syndrome

Answer 12

Low birth weight
Small head
Dysmorphic facial features

Question 13

Neonatal features of nicotine withdrawal

Answer 13

Mild tremor
Intermittent irritability
Need for handling