Alcohol & Pregnancy
Smoking & Vaping
Opioids & Pregnancy
Cannabis & Pregnancy
Treatment and Prevention
100

 What type of birth defect prevention is possible by avoiding this substance during pregnancy

Alcohol 

100

What addictive chemical found in most tobacco products and many vapes can harm fetal development?

What is nicotine

100

Opioid use disorder should be treated during pregnancy. True or False 

True 

100

Has any amount of cannabis been established as safe during pregnancy?

A. Yes, if cannabis is used only once a month.

B. Yes, if the cannabis contains low levels of THC.

C. No, there is no known safe amount of cannabis use during pregnancy.

D. Yes, if cannabis is used only during the first trimester.

Correct Answer: C. No, there is no known safe amount of cannabis use during pregnancy.

100

Which is an example of a protective factor that can support a healthier pregnancy for someone experiencing substance use challenges?

A. Avoiding all prenatal appointments

B. Keeping substance use concerns secret from healthcare providers

C. Receiving regular prenatal care and appropriate support

D. Stopping prescribed medication without medical advice

Correct Answer: C. Receiving regular prenatal care and appropriate support

200

What is the name for a group of conditions that can result from prenatal alcohol exposure?

What are fetal alcohol spectrum disorders (FASDs)?

200

Which harmful gas found in cigarette smoke reduces the amount of oxygen that can be carried in the blood during pregnancy?

 A. Oxygen

 B. Carbon monoxide 

C. Helium

 D. Nitrogen 

Correct answer B: carbon monoxide 

200

Why is medical supervision important when changing or stopping opioid use during pregnancy?

A. It helps prevent all possible pregnancy complications.

B. It allows healthcare providers to manage withdrawal symptoms and adjust treatment safely.

C. It eliminates the need for prenatal appointments.

D. It ensures the baby will not experience any effects from opioid exposure.


Correct Answer: B. It allows healthcare providers to manage withdrawal symptoms and adjust treatment safely.











200

 CBD is considered a safe substitute during pregnancy? True or False

False: Safety has not been established, and products may contain THC or contaminants

200

What is the purpose of substance use screening during prenatal visits?

A. To determine whether someone will be a good parent

B. To automatically stop all prescribed medications

C. To identify possible concerns and connect people with appropriate support

D. To guarantee that pregnancy complications will not occur

Correct Answer: C. To identify possible concerns and connect people with appropriate support

300

What organ that develops in the fetus can be affected by alcohol exposure?

What is the brain
300

What is the best answer: Name pregnancy complications associated with smoking?

A) premature birth

B) Poor fetal growth and premature birth

C) Low birth weight, fetal growth, and premature birth

Correct answer C: Low birth weight, fetal growth, and premature birth

300

True or False: Every baby exposed to opioids develops withdrawal

B. Not every opioid-exposed newborn develops withdrawal symptoms. Some babies may develop neonatal opioid withdrawal syndrome (NOWS), but the outcome varies depending on several factors, including the type of opioid, timing of exposure, and other health factors. 

300

Which of the following pregnancy outcomes has been associated with prenatal cannabis use?

A. Increased risk of low birth weight and preterm birth

B. Reduced risk of fetal growth restriction and premature delivery

C. Improved fetal growth with no documented developmental concerns

 D. Increased average birth weight and shorter labor duration

A. Increased risk of low birth weight and preterm birth

300

Question: Which treatment approach is recommended for opioid use disorder during pregnancy?

A. Stopping all opioids immediately without medical supervision

B. Delaying treatment until after delivery

C. Using detoxification alone without follow-up care

D. Medication treatment with methadone or buprenorphine and ongoing prenatal care

Correct Answer: D. Medication treatment with methadone or buprenorphine and ongoing prenatal care

400

Can alcohol affect a developing baby before a person knows they are pregnant?

Yes. Development begins early in pregnancy, and alcohol exposure can pose risks.

400

Which pregnancy complication is associated with exposure to secondhand smoke?

 A. Increased fetal growth 

B. Reduced risk of premature birth 

C. Low birth weight 

D. Stronger lung development

Correct Answer: C. Low birth weight

400

Which treatment approach is generally recommended for a pregnant person with opioid use disorder (OUD)?

A. Stop all opioid use immediately without medical supervision.

B. Delay treatment until after the baby is born.

C. Use medically supervised treatment with methadone or buprenorphine and receive prenatal care.

D. Rely on detoxification alone without ongoing follow-up.

Correct Answer: C. Use medically supervised treatment with methadone or buprenorphine and receive prenatal care.

400

Why can using cannabis during pregnancy be a concern for a developing baby?

A. THC may cross the placenta and affect fetal development.

B. THC is completely filtered out by the placenta before reaching the baby.

C. Cannabis affects the pregnant person but cannot reach the fetus.

D. THC increases the oxygen supply available to the developing baby.

A. THC may cross the placenta and affect fetal development.

400

Why might a pregnant person experiencing substance use challenges avoid seeking treatment?

A. They are guaranteed to experience complications if they disclose their substance use.

B. They may fear stigma, judgment, or possible legal and child welfare consequences.

C. Healthcare providers cannot offer treatment during pregnancy.

D. Substance use treatment is only available after the baby is born.

Correct Answer: B. They may fear stigma, judgment, or possible legal and child welfare consequences.

500

What are the three main areas of development that can be affected by prenatal alcohol exposure in fetal alcohol spectrum disorders (FASDs)?

A)hair growth, eyesight, and hearing only 

B) Physical growth, brain development, and behavior

C) Bone strength, muscle size, and blood type 

Correct Answer: B. Physical growth, brain development, and behavior.

500

Which option is the safest recommended way for a pregnant person who smokes or vapes to seek help quitting?

A. Ask a healthcare provider about a personalized quit plan.

B. Contact a smoking cessation support service.

C. Get support and counseling to manage cravings.

D. Continue smoking or vaping because quitting is too difficult.

Correct Answer: D. Continue smoking or vaping because quitting is too difficult.

500

Question: Which statement best describes how opioid use disorder (OUD) can affect a newborn when it is not adequately treated during pregnancy?

A. Prenatal opioid exposure always causes permanent developmental disabilities.

B. The newborn may experience withdrawal symptoms after birth, but this outcome is not inevitable.

C. Withdrawal symptoms occur only when opioids are taken during the final trimester.

D. Newborn withdrawal can be prevented completely by stopping opioids abruptly before delivery.

Correct Answer: B. The newborn may experience withdrawal symptoms after birth, but this outcome is not inevitable.

500

 Which statement best describes what researchers know about cannabis use during pregnancy?

A. Cannabis has been proven safe when used in small amounts during pregnancy. B. Only smoking cannabis poses potential risks; edibles are considered safe. C. Prenatal cannabis use has been associated with adverse outcomes, but research cannot establish that cannabis alone causes every outcome. D. Cannabis affects fetal development only when used during the third trimester.


Correct Answer: C. Prenatal cannabis use has been associated with adverse outcomes, but research cannot establish that cannabis alone causes every outcome.

500

Which approach best supports recovery for a pregnant person experiencing a substance use disorder while addressing the health needs of both the parent and baby?

A. Combining prenatal monitoring with treatment only when withdrawal symptoms occur.

B. Prioritizing substance use treatment while postponing routine prenatal care until recovery is stable.

C. Using behavioral counseling as the primary intervention and adding medical treatment only if counseling is unsuccessful.

D. Coordinating individualized substance use treatment, prenatal care, behavioral health support, and ongoing follow-up.

D. Coordinating individualized substance use treatment, prenatal care, behavioral health support, and ongoing follow-up.