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Perinatal Complications Project

Across
If patient is dependent, offer a _ to a drug treatment program
_ maintenance is standard treatment for opioid dependence
Substance abuse is often difficult to recognize in newborns immediately, as there are often no _ anomalies.
Mothers should be educated and counseled that substance abuse has higher associated rates of miscarriage, _ _ _, stillbirth, and preterm delivery
3 most common substances abused during pregnancy in the US are alcohol, nicotine, and _
If substance use present, need to determine the amount, _, and dependence
According to the DSM-5 _ _ _ is defined as “when the recurrent use of alcohol and/or drugs causes clinically and functionally significant impairment, such as health problems, disability, and failure to meet major responsibilities at work, school, or home"
These patients are considered _ risk and need close follow up during and after pregnancy
For those who need nicotine replacement therapy, _ options, such as gum and lozenges, are recommended over continuous options, such as a patch
A good, least intensive approach to start with includes _ interviewing
_ counseling is 1st line therapy for nicotine use
In mothers who have quit and it is safe for the newborn, _ has been shown to help prevent and decrease relapse
Fagerstrom Test for _ dependence
The established safe level of ETOH during pregnancy is _
At what visit, should substance abuse be assessed for
Down
Screening questionnaire recommended by WHO for assessing alcohol use
The Gold Standard for substance abuse management in pregnancy includes taking an individualized, _ approach, starting with least intensive management and increasing intensity as necessary
Ask, advise, assess, _, arrange
First line management for severe alcohol use is inpatient _
Educate mothers that the substance can be transferred to the fetus via _
More prevalent with women with lower _ status
Use of _ drug testing is controversial and not currently recommended as a standard for diagnosing
A _ manner is needed to gain trust of the patient when discussing substance abuse
Using specific screening questionnaires _ detection rates
Ask about etoh use, nicotine, prescription, OTC, and _ drugs
Assessment for fetal well being, growth, and _ is key as there is increased risk of IUGR
More prevalent in women with a criminal history, mental health problems, and _ abuse
Universal screening for substance abuse using _ specimens is not currently recommended
Prior substance use determines _ substance use (Burns, 2016)