National Center of Continuing Education

Fetal Alcohol Syndrome Evaluation #5012 or #9012

*Date of Exam:

*State Licensed, License #, and Renewal Date:

*Name (First, Middle, Last)

*Title (RN, LVN, LPN, PT, other):

*City:

*State: *Phone:

As a part of the course, please evaluate your ability to meet each of the following instructional objectives. The Submit button is at the end of this Evaluation.

1. Identify three major effects of prenatal alcohol use on the developing fetus/neonate.
Excellent Good Fair Poor
2. State the relationship between maternal drinking in pregnancy and the pattern of associated problems found in Fetal Alcohol Syndrome/Fetal Alcohol Effects.
Excellent Good Fair Poor
3. Identify three neonatal cognitive and behavioral effects of maternal drinking in pregnancy.
Excellent Good Fair Poor
4. List three secondary disabilities associated with the long-term effects of maternal drinking in pregnancy.
Excellent Good Fair Poor
5. List three appropriate interventions for the neonate with FAS.
Excellent Good Fair Poor
6. Explain two ethical dilemmas that may result from attempts to diagnose FAS or FAE.
Excellent Good Fair Poor
7. List three nursing diagnoses that would apply to the neonate with possible FAS and the infant's family.
Excellent Good Fair Poor

Please evaluate each of the following areas of this course:

1. The objectives and content of the course met my needs for learning.
Excellent Good Fair Poor
2. The course content was clear and easy to understand.
Excellent Good Fair Poor
3. The explanations and examples were clear.
Excellent Good Fair Poor
4. The teaching/learning methods used were effective in assisting me to learn the content.
Excellent Good Fair Poor
5. The independent analysis was comprehensive and helped me to review the content.
Excellent Good Fair Poor
6. The course taught me new information.
Excellent Good Fair Poor
7. The course was meaningful and appropriate.
Excellent Good Fair Poor
8. The course will enhance my nursing skills.
Excellent Good Fair Poor
9. The course content was relevant to the objectives.
Excellent Good Fair Poor

Your preview, study, review and analysis of the material, and completion of the evaluation form should require approximately the total number of hours awarded for this course. Please complete the following:
Time required to complete this course:

I certify that I completed the home study course #9012 or #5012 Fetal Alcohol Syndrome personally in at least the number of course contact hours that will be awarded. (This does not affect your continuing education hours. Individuals with different backgrounds spend different amounts of time. 60 minutes = 1 contact hour).
Name & Title
Nursing Lic #


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