A careful review of the literature on the various recreational ...

[CharlieWard]

A careful review of the literature on the various recreational and illicit drugs reveals that:
 
  a. More longer-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs.
  b. Heroin and methadone cross the placenta; marijuana, cocaine, and phencyclidine (PCP) do not.
  c. Mothers should discontinue heroin use (detox) any time they can during pregnancy.
  d. Methadone withdrawal for infants is less severe and shorter than heroin withdrawal.

Question 2

Near the end of the first week of life, an infant who has not been treated for any infection develops a copper-colored, maculopapular rash on the palms and around the mouth and anus. The newborn is showing signs of:
 
  a. Gonorrhea. c. Congenital syphilis.
  b. Herpes simplex virus infection. d. Human immunodeficiency virus.

[chem1s3]

Answer to Question 1

ANS: A
Studies on the effects of marijuana and cocaine use by mothers are somewhat contradictory. More long-range studies are needed. Just about all these drugs cross the placenta, including marijuana, cocaine, and PCP. Drug withdrawal is accompanied by fetal withdrawal, which can lead to fetal death. Therefore, detoxification from heroin is not recommended, particularly later in pregnancy. Methadone withdrawal is more severe and more prolonged than heroin withdrawal.

Answer to Question 2

ANS: C
The rash is indicative of congenital syphilis. The lesions may extend over the trunk and extremities.

[CharlieWard]

Excellent

[lindahyatt42]

TYSM