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OB-Substance Abuse
Alcohol Abuse in Pregnancy
| Question | Answer |
|---|---|
| the first 3-8 weeks of pregnancy are considered the | window of vulnerability |
| what age group abuses alcohol more often | early 20s |
| etoh affects what major fetal development 1st trimester | organ development |
| etoh affects what major fetal development 2nd trimester | brain function |
| etoh has what affect on major fetal development 3rd trimester | decreased growth and development |
| etoh is the leading cause of what serious condition | mental retardation |
| if a mom's blood alcohol level is 0.7 what is babies? | same |
| what amount of alcohol is safe in pregnancy | none |
| when can damage from alcohol occur during pregnancy | anytime |
| does drinking alcohol during pregnancy always cause FAS | no |
| are alcohol birth defects completely preventable | yes |
| describe the head of a baby with FAS | small |
| describe the ears of a baby with FAS | undeveloped pinna |
| describe the face in general in a baby with FAS | flat |
| describe the chin of a baby with FAS | pointed, small |
| what two characteristics of lips are seen in FAS babies | thin, missing upper grove |
| besides facial abnormalities what other anomalies may be associated with FAS | heart, eyes, ears, kidneys and skeletal system |
| can the kidneys be affected by FAS | yes |
| can the ears & eyes be affected by FAS | yes |
| can the skeletal system be affected by FAS | yes |
| describe the eyes of a baby with FAS | small openings |
| describe the nose of a baby with FAS | short |
| at what age might signs of withdrawal appear | 6-12 hours |
| at what age will alcohol exposed infants show behavioral signs | first week |
| what are the s/s of alcohol exposure | hyperactivity, jittery, irritability, difficult to console, abdominal distention, exaggerated rooting and seizures |
| describe the rooting reflex in an FAS baby | exaggerated |
| describe the sleep/wake cycles of FAS babies | excessive arousal state, sleeplessness |
| describe the consolibility of an FAS baby | difficult |
| describe the abdomen in a baby with FAS | distended |
| what is the priority nursing diagnosis for FAS babies | altered nutrition: less than body requirements |
| how is the nutrition of an FAS baby affected | poor eaters due to excessive rooting and dysfunctional suck |
| does alcohol pass through breast milk | yes |
| is breastfeeding contraindicated when alcohol is an issue | no |
| what affect does alcohol have on breastfeeding | inhibits let down, makes breastfeeding more difficult |
| what is the priority outcome for etoh babies | baby able to tolerate feedings and gain weight |
| how long do babies normally have the sleeping and activity problems associated with FAS | first month |
| how long can an FAS baby continue to have nutritional issues | six-seven months |
| what specific nutritional deficiency do FAS children have well into childhood | amino acid |