Answer each of the
following questions (there is only one correct answer to each question).
1
Teratogen can be defined as a substance that:
A. produces an adverse
effect on the fetus
B. crosses the placenta
C. induces maternal vomiting
D. enhances fetal lung
development
2
A woman will not produce a child
with FAS if she:
A. drinks alcohol only
during the last trimester
B. abstains from alcohol
throughout the pregnancy
C. drinks only one or two
wine coolers throughout the pregnancy
D. drinks alcohol only
on the weekends
3
The incidence of FAS and FAE is
approximately four per:
A. 100 live births
B. 1,000 live births
C. 5,000 live births
D. 10,000 live births
4
The all or nothing principle refers
to:
A. rapidly dividing cells
that either separate or stay together
B. whether any give sperm
fertilizes the egg
C. the fact that a zygote
either dies or survives without adverse effects
D. passage of the zygote
into the embryonic stage
5
Organogenesis occurs during which
period of gestation?
A. weeks 1-3
B. weeks 4-8
C. weeks 9-40
D. weeks 16-20
6
The most likely characteristics
of a mother who may produce a child with FAS are:
A. age 19-25, multiparous
B. age 26-30, primiparous
C. age 30-35, multiparous
D. age 35-40, primiparous
7
Binge drinking:
A. does not produce FAS
or FAE in offspring
B. is less likely to produce
FAS or FAE than regular consumption of small amounts of alcohol
C. increases the probability
of FAS or FAE in the offspring
D. has not been studied
to determine its effects on FAS and FAE
8
One possible explanation for the
differences in the degree of anomalies or behavioral effects in children
diagnosed with FAS is:
A. the amount of alcohol
consumed during pregnancy
B. the amount of liver
damage caused by preconceptual drinking
C. paternal age
D. sensitivity to alcohol
associated with certain configurations of maternal and fetal genes
9
The neonate with FAS exhibits
these classic manifestations:
A. skeletal malformations,
cardiac anomalies, renal dysfunction
B. craniofacial anomalies,
cardiac anomalies, neurobehavioral problems
C. craniofacial anomalies,
growth retardation, neurological effects
D. skeletal malformations,
hypoglycemia, cardiac anomalies
10
The effect of alcohol on the brain
can best be described as:
A. enhancing the growth
and proliferation of the neural cells of the brain
B. disruption of the normal
growth and migration of the neural cells of the brain
C. accelerated maturation
of the glial portion of the brain
D. a result of injury to
the blood vessels that supply neuronal tissue
11
MRI studies of the alcohol exposed
fetal brain have shown:
A. absent corpus callosum
B. increased brain volume
C. enlarged basal ganglia
D. small ventricles with
reduced volume of cerebral spinal fluid
12
Cerebellar functions include:
A. memory
B. speech
C. intelligence
D. motor coordination
13
Common cognitive/behavioral manifestations
seen in an alcohol-exposed infant include:
A. &#hypersensitivity
to stimuli, irritability, weak suck
B. irritability, high-pitched
cry, inability to focus
C. hyposensitivity to stimulation,
flaccidity, difficult to arouse
D. exaggerated movements,
grand mal seizures, protruding tongue
14
Which of the following statements
is true ?
A. Children with FAS seldom
show delays in language development.
B. Autistic tendencies
have been identified in approximately 25% of children with FAE.
C. Children who have the
most severe physical manifestations of FAS are the most likely to be
mentally retarded.
D. none of the above
15
Primary disabilities are those:
A. &#the child is born
with
B. acquired during the
birth process
C. resulting from toxic
exposures in the neonate
D. first evident during
childhood
16
Secondary disabilities associated
with FAS result from a lack of:
A. timely diagnosis
B. adequate early intervention
C. attention to primary
disabilities
D. all of the above
17
When assessing the infant for
effects of alcohol exposure, the nurse needs to be aware of the hallmark
symptoms, which include:
A. cardiac problems
B. intrauterine growth
restriction
C. digestive problems
D. respiratory distress
syndrome
18
Observation of the alcohol-exposed
infant may be expected to reveal:
A. lethargy
B. high-pitched cry
C. disturbed sleep/wake
patterns
D. hyperextension of the
extremities
19
The urine output of the neonate
should be at least:
A. 10cc/kg/hour
B. 5cc/kg/hour
C. 2cc/kg/hour
D. 1cc/kg/hour
20
Maternal histories that include
which of the following alert the nurse to possible maternal drinking
behavior:
A. sexually transmitted
infections
B. pneumonia
C. gastric ulcers
D. eating disorders
21
Developmental care refers to:
A. providing care at different
stages of development
B. working with the school
age child to provide guidance and counseling
C. being sensitive to infant
cues in order to promote positive neurobehavioral development
D. working with the pregnant
woman to inform her of the various stages of fetal growth
22
Nesting devices include:
A. &#infant cradles
that rock from side to side
B. &#towel rolls placed
behind the infant’s back and at her feet
C. &#infant pillows
formed to fit the infant perfectly
D. radiant heaters strategically
placed around the infant
23
Early intervention services are
aimed at:
A. &#teaching parents
how to drink responsibly
B. teenagers to inform
them of the consequences of drinking during pregnancy
C. preventing primary disabilities
for infants with FAS/FAE
D. preventing or reducing
secondary disabilities for infants with FAS/FAE
24
Zero to Three refers to a program
that follows children from:
A. birth through three
weeks of age
B. birth through three
months
C. birth through three
years
D. the time of diagnosis
through three months post-diagnosis
25
Some of the behaviors displayed
by a school age child that has been exposed to alcohol in utero may
include:
A. defiance of parental
and school authority
B. extreme attention to
detail
C. loving, trusting behavior
D. marked resistance to
suggestion
26
At puberty, characteristics of
the alcohol-exposed child may include:
A. weight commensurate
with height; lessening of facial anomalies
B. worsening of behavioral
problems
C. egocentric attitude,
low self-esteem and poor school performance
D. all of the above
27
The Brief Intervention Model (BIM)
is based on:
A. strict abstinence from
alcohol
B. the 12 step programs
of AA
C. client self education
D. mutual goal setting
of the client and health care provider
28
An ethical dilemma for the nurse
arises when a child comes in for care and might have FAS. The dilemma
results from having to:
A. confront the child with
a poor prognosis
B. label a child who might
then suffer a stigma
C. &#inform the parents
that the child may be susceptible to development of alcoholism
D. tell school officials
that the child may become violent
29
Many NANDA nursing diagnoses apply
to the infant with FAS/FAE or the infant’s family. All of the following
are plausible diagnoses except:
A. altered nutrition: greater
than body requirements
B. &#impaired verbal
communication
C. risk for altered parenting
D. decisional conflict
30
The nurse’s role in caring
for a child with FAS/FAE and his family includes:
A. clear, accurate, thorough
assessment
B. getting the child and
family into needed treatment
C. ensuring child safety
and advocating for supportive services
D. all of the above
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