1.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%
b.5.1%
c.8.7%
d.7.6%
ANSWER: d
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:44PM
2.Theeffectsoftoxinsonafetus,especiallyduringthefirsttrimester,are_________.
a.insignificant
b.onlyconcerningifthemotherhasasubstanceaddiction
c.magnified
d.onlyconcerningifmorethanonedrugisingested
ANSWER: c
POINTS: 1
REFERENCES: ScopeoftheProblem
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.01-Understandthescopeoftheproblemofsubstance
misuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
3.Accordingtoyourtext,whichofthefollowingstatementsistrue?
a.Thereisarelationshipbetweenmaternalsubstanceuse,depression,andattemptedsuicidefollowingbirth.
b.Scientistshavebeenabletoclearlyidentifyaspecificpatterninchildrenborntodrug-abusingmothers.
c.Unlessachilddevelopsfetalalcoholspectrumdisorder,childrenborntodrug-abusingmothersarenotata
higherriskdevelopmentallythanchildrenborntonon-drug-abusingmothers.
d.Mostwomenofchildbearingagewithsubstanceabusedisordersgettheappropriatetreatmentneeded.
ANSWER: a
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
4.Accordingtoyourtext,whatpercentageofwomenconsumedalcoholonaregularbasiswhilepregnant?
a.1.5%
b.25%
c.10.8%
d.8.1%
ANSWER: c
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:45PM
5.WhichofthefollowingisNOToneoftheconsequencesofprenatalexposuretoamphetamines?
a.Higherlevelsofemotionalreactivityatages3and5
b.Facialabnormalities
c.Increasedriskofbeingsmallforgestationalage
d.Congenitalbrainlesions
ANSWER: b
POINTS: 1
REFERENCES: UseofAmphetaminesandAmphetamine-LikeCompoundsDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
6.Inhalantmisuseduringpregnancyseemstobeconnectedtowhichofthefollowingoutcomes?
a.Growthretardationinutero
b.Developmentalabnormalities
c.Neurodevelopmentalproblems
d.Alloftheseanswersarecorrect.
ANSWER: d
POINTS: 1
REFERENCES: InhalantMisuseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
7.TheconcentrationofTHC,theactiveingredientinmarijuana,isfoundtobe____timeshigherinthemother’sbreast
milkthaninthemother’sbloodlevel.
a.1.5
b.3
c.4.5
d.6
ANSWER: d
POINTS: 1
REFERENCES: MarijuanaUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
8.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
ANSWER: a
POINTS: 1
REFERENCES: ScopeoftheProblem
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.01-Understandthescopeoftheproblemofsubstance
misuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
9.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%ofthematernalbloodlevel
ANSWER: b
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
10.Accordingtoyourtext,_________meetdiagnosticcriteriaforadmissiontoasubstance-userehabilitationfacility.
a.25%ofallwomen
b.10%ofallwomenofchildbearingage
c.5%ofwomenwhoarepregnant
d.85%ofallwomenofchildbearingage
ANSWER: b
POINTS: 1
REFERENCES: ScopeoftheProblem
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.01-Understandthescopeoftheproblemofsubstance
misuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
11.Adangerofdisulfiramuseduringpregnancyisthatitmight__________.
a.resultinhigherlevelsofleadinthefetalcirculation,resultinginhepatotoxicity
b.resultinhigherlevelsofleadinthefetalcirculation,resultingindisruptedneurologicalgrowth
c.resultinhigherlevelsofgangliosideinhibitioninthebrain
d.havenoeffectatall,astheleadinthematernalcirculationisunabletocrosstheplacentalbarrier
ANSWER: b
POINTS: 1
REFERENCES: UseofAmphetaminesandAmphetamine-LikeCompoundsDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
12.Whichisthemostaccuratestatementregardingtheuseofamphetaminesduringpregnancy?
a.Mostsuggeststhatthesecompoundsresultinababythatwillbeaddictedtoamphetaminesfollowingbirth.
b.Themajorityindicatesthatthesecompoundsmaketheconcurrentuseofopioidsbythemotherlesslikely.
c.Thereissurprisinglylittleresearchonthistopicintheclinicalliterature.
d.Itprimarilysuggeststhatthelong-termeffectsforthefetusareaboutthesameasmaternalopioidaddiction
duringpregnancy.
ANSWER: c
POINTS: 1
REFERENCES: UseofAmphetaminesandAmphetamine-LikeCompoundsDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
13.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%ofthecases
ANSWER: a
POINTS: 1
REFERENCES: UseofAmphetaminesandAmphetamine-LikeCompoundsDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
14.Ithasbeenestimatedthatasmanyas_____ofthewomenwhogivebirtheachyearintheUnitedStatessmoke
cigarettes,anddidsoduringpregnancy.
a.5.7%
b.28.6%
c.17.4%
d.41%
ANSWER: b
POINTS: 1
REFERENCES: CigaretteSmokingDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:46PM
15.Maternalcigarettesmokingduringpregnancyisthoughttoaccountfor________.
a.90%oftheproblemoflowbirthweightintheUnitedStates
b.35%oftheproblemofperinataldeatheachyearintheUnitedStates
c.15%oftheproblemofmaternalmalnutritionduringpregnancyintheUnitedStates
d.5%oftheproblemofperinataldeatheachyearintheUnitedStates
ANSWER: d
POINTS: 1
REFERENCES: CigaretteSmokingDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
16.Itisdifficulttoidentifytheeffectsofmaternalcocainemisuseonpregnancybecause_________.
a.thelastwaveofcocaineabusepeakedinthelate1990s,leavinglittlemotivationforfoundationstofund
researchinthisarea
b.mostpregnantcocainemisusersalsoabuseothercompoundsknowntoaffectfetalgrowthanddevelopment
c.theinfantstendtosufferfromsleepapneafollowingbirth,whichalterscognitivefunction
d.thecloseassociationbetweenmaternalcocainemisuseandsuddeninfantdeathsyndromemakesitimpossible
toconductsuchresearch
ANSWER: b
POINTS: 1
REFERENCES: CocaineUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
17.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
ANSWER: a
POINTS: 1
REFERENCES: HallucinogenUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
18.Marijuanausebyawomanwhoispregnant________.
a.mightpossiblyinterferewithnormalendocannabinoidfunctioninthefetalbrain
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
ANSWER: a
POINTS: 1
REFERENCES: MarijuanaUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
19.Thesymptomsofearlyopiate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
ANSWER: b
POINTS: 1
REFERENCES: NarcoticAnalgesicUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
20.Theconcentrationofnarcoticanalgesicssuchasmethadoneinbreastmilkisbetween_______,whichsuggeststhat
breastfeedingduringthefirstdaysfollowingbirthmighthelptorelievethedistressofaninfantgoingthroughopiate
withdrawal.
a.1and3%
b.4and6%
c.8and12%
d.14and18%
ANSWER: a
POINTS: 1
REFERENCES: NarcoticAnalgesicUseDuringPregnancy
QUESTIONTYPE: MultipleChoice
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
21.Aspirinuseduringpregnancyissafe,becauseaspirincannotcrosstheplacenta.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: Over-the-CounterAnalgesicUseDuringPregnancy
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
22.PreliminaryresearchsuggeststhattheuseofMDMAduringpregnancyisassociatedwithimpairedcoordinationand
motorskillsat4monthsand1yearofage.
a.True
b.False
ANSWER: True
POINTS: 1
REFERENCES: HallucinogenUseDuringPregnancy
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
23.Earlyinpregnancy,nicotine,alcohol,marijuana,opiates,cocaine,andmethamphetamineshaveallbeenfoundtohave
teratogeniceffects.
a.True
b.False
ANSWER: True
POINTS: 1
REFERENCES: ScopeoftheProblem
QUESTIONTYPE:True/False
24.Alcoholdoesnotpassintoamother’sbreastmilk.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
25.Theauthorsdonotrecommendnicotinereplacementtherapyasawaytohelppregnantsmokersquit.
a.True
b.False
ANSWER: False
POINTS: 1
REFERENCES: CigaretteSmokingDuringPregnancy
QUESTIONTYPE: True/False
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
26.Discusssomeofthegeneralissuesinvolvingpregnancyanddrug/alcoholuse.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: ScopeoftheProblem
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.01-Understandthescopeoftheproblemofsubstance
misuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
27.Distinguishbetweenfetalalcoholspectrumdisorder(FASD)/fetalalcoholsyndrome(FAS)andfetalalcoholeffects
(FAE)
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: Alcohol
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.02-Identifytheconcernswithalcoholuseduringpregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
28.Discussthepossibleeffectsofsmokingduringpregnancy.
ANSWER: Answernotprovided.
POINTS: 1
REFERENCES: CigaretteSmokingDuringPregnancy
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
29.Discussthepotentialproblemsassociatedwithcocaineuseduringpregnancy,notingthenumberofinfantswhowere
exposedtococaineinuteroeachyear.
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: CocaineUseDuringPregnancy
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM
30.Whataretheeffectsassociatedwithmarijuanauseduringpregnancy?
ANSWER: Noanswerprovided.
POINTS: 1
REFERENCES: MarijuanaUseDuringPregnancy
QUESTIONTYPE: Essay
HASVARIABLES: False
LEARNINGOBJECTIVES:DOWE.COCD.19.17.03-Identifytheconcernswithvariousdrugsifusedduring
pregnancy
DATECREATED: 3/28/20182:45AM
DATEMODIFIED: 3/29/20183:18AM