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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 |