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Screening and brief intervention to prevent fetal alcohol spectrum disorders

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doi: 10.1097/01.NURSE.0000531025.95849.84
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INSTRUCTIONS Screening and brief intervention to prevent fetal alcohol spectrum disorders


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Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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Screening and brief intervention to prevent fetal alcohol spectrum disorders

GENERAL PURPOSE: To provide information about assessing alcohol consumption in women of reproductive age and intervening as needed. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Recognize the risks associated with prenatal alcohol use. 2. Outline the Alcohol SBI tool.

  1. The goal of increasing the number of nurses using the Alcohol SBI tool is to prevent
    1. alcohol toxicity.
    2. unplanned pregnancies.
    3. FASDs.
  2. According to the authors, what's the critical intervention for FASDs?
    1. diagnosis
    2. prevention
    3. treatment
  3. What's the leading preventable cause of birth defects and disabilities in the United States?
    1. alcohol consumption
    2. folic acid deficiency
    3. gestational diabetes
  4. Alcohol use in pregnancy can cause physical defects in a fetus such as
    1. limb abnormalities.
    2. thick upper lip.
    3. large head circumference.
  5. For children exposed to alcohol in utero, cognitive and learning deficiencies
    1. rarely occur.
    2. may not be realized until adolescence or young adulthood.
    3. are identified most frequently during infancy.
  6. Which of the following is at the end of the FASD spectrum and can cause death?
    1. FAS
    2. ARBD
    3. ARND
  7. According to the CDC, FAS is estimated to occur in 0.2 to 1.5 infants per
    1. 10 live births.
    2. 100 live births.
    3. 1,000 live births.
  8. To help prevent FASDs, education for pregnant women should include which information?
    1. Alcohol use is safe in the third trimester.
    2. It isn't safe to consume any amount of alcohol.
    3. Only wine or flavored coolers can safely be consumed.
  9. Which screening tool is preferred for assessing frequency, quantity, and patterns of drinking?
    1. T-ACE
    2. AUDIT
    3. AUDIT-C
  10. The first question of AUDIT assesses
    1. frequency.
    2. quantity.
    3. pattern.
  11. The AUDIT-C tool
    1. is available online for screening use.
    2. isn't practical to use in clinical settings.
    3. should be administered only by a physician.
  12. One drink is defined as
    1. 6 fl oz regular beer.
    2. 1.5 fl oz malt liquor.
    3. 5 fl oz table wine.
  13. The first step in brief intervention is to
    1. raise the topic of alcohol consumption.
    2. enhance patient motivation.
    3. provide feedback.
  14. In the acronym T-ACE, the T stands for
    1. table wine.
    2. trust.
    3. tolerance.
  15. During which brief intervention step does the nurse enhance the patient's motivation about changing her alcohol consumption?
    1. Step 1
    2. Step 3
    3. Step 4
  16. A substance such as alcohol that causes embryo malformations is referred to as a
    1. carcinogen.
    2. teratogen.
    3. mutagen.
  17. The last step of brief intervention includes addressing the patient's alcohol consumption by
    1. negotiating with and advising the patient.
    2. enhancing the patient's motivation to stop use.
    3. providing feedback to the patient by exposing myths.
  18. The process of implementing brief intervention with a woman of reproductive age can take as little as
    1. 5 minutes.
    2. 15 minutes.
    3. 30 minutes.
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