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Preventing Marijuana Use - Women and Pregnancy

Preventing the Use of Marijuana: Focus on Women and Pregnancy

1. Babies born to mothers who report marijuana use are more likely to be preterm and underweight.

A. True

B. False


2. The primary psychoactive ingredient in marijuana, delta-9-tetrahydrocannabinol (THC), has been found in breast milk for up to _____ days after maternal marijuana use.

A. 3

B. 6

C. 12

D. 24


3. Women who experience nausea or vomiting during pregnancy are more likely to use cannabis compared to women who do not experience these symptoms.

A. True

B. False


4. Compared to the 4% THC level of marijuana in 1995, the potency of marijuana in 2017 is about:

A. 9%

B. 12%

C. 17%

D. 24%


5. The FDA regulates marijuana.

A. True

B. False


6. Research suggests that chemicals from marijuana can be passed to infants through breast milk and THC is stored in fat and is released slowly over time, meaning an infant can still be exposed through breast milk even after a mother stops using marijuana.

A. True

B. False


7. There is evidence that prenatal marijuana exposure is linked to:

A. Children’s lower scores on tests of visual problem-solving, visual-motor coordination, and visual analysis.

B. Decreased attention span and increased behavioral problems.

C. Marijuana use by 14 years of age.

D. Prenatal marijuana exposure is linked to lower test scores, decreased attention span and increased behavioral problems, and marijuana use by 14 years of age.


8. Compelling evidence shows that the use of CBD oil during pregnancy is beneficial for nausea and vomiting.

A. True

B. False


Effective Practices to Prevent Substance Use During Pregnancy

9. Simply asking about alcohol and other substance use is not enough to result in behavior change.

A. True

B. False


10. All of the following are decreased SBIRT associated outcomes, except for:

A. Infant birthweight

B. Neonatal intensive care admissions

C. Preterm labor rates

D. Alcohol consumption during pregnancy


11. All of the following are key elements included in the maternity medical home model, except:

A. A standardized risk assessment to identify a woman’s needs.

B. A focus on first and second trimester entry into prenatal care.

C. Care coordination to ensure that a woman receives all needed services during pregnancy.

D. Standardized care pathways to target common risk factors for poor birth outcomes and ensure each woman receives all recommended care.


12. States using more aggressive negative messaging regarding alcohol use during pregnancy in education campaigns see the best pregnancy outcomes and lowest costs.

A. True

B. False


13. Educational messaging that is more likely to be effective will do all of the following, except:

A. Target the reasons women used marijuana during pregnancy.

B. Explain the known and possible risks of marijuana use during pregnancy.

C. Promote the use of medications known to be safe in pregnancy.

D. Provide accuracy and consistency while at the same time shame the women.


14. Which of the following is one of the most effective approaches to treating SUDs?

A. Contingency management

B. Drug and alcohol testing

C. Motivational interviewing

D. Providing educational materials


15. Approximately 1 in _____ women experience postpartum depression.

A. 3

B. 6

C. 9

D. 12


16. Concerns about the implementation of punitive strategies may deter women from seeking health care during and after pregnancy.

A. True

B. False


17. Initiation of marijuana use in adolescence is a risk factor for marijuana use during pregnancy.

A. True

B. False


Implementing Evidence-Based Substance Use Prevention Practices for Pregnant and Postpartum Women

18. What is the first step of the Getting to Outcomes Model for prevention programs for marijuana use among pregnant and postpartum women?

A. Make a plan for getting started - determine who, what, where, when, and how.

B. Assess staffing and finances to implement the program.

C. Choose which problem and related risk factors to focus on.

D. Identify goals, target population, and desired outcomes.


19. To maximize the impact of an intervention when implementing prevention programs, it is important to:

A. Select the right program or practice.

B. Maintain the program’s core elements.

C. Balance core elements with program adaptation so that it meets the needs of the people being served and the capacity to implement.

D. Select the right program or practice, maintain the program’s core elements, and balance core elements with program adaptation.


20. What is the goal of implementation?

A. Practitioners base their interactions with women who are pregnant or postpartum on research findings around evidence-based practices and programs.

B. Ongoing consultations and coaching.

C. Pre-service and in-service training.

D. Finding strategies that work with external systems to ensure availability of the resources required to support the work of practitioners.


21. Which of the following is an action that should be taken to address public misperception about the safety of marijuana use?

A. Educate staff around how to discuss marijuana use in a non-judgmental manner.

B. Integrate regular screening for marijuana use into routine workflows.

C. Focus on preventing harms associated with marijuana use during the postpartum period.

D. Provide scientific and accurate information.


22. Which of the following is an action that should be taken to address reluctance among pregnant women to admit to marijuana use?

A. Educate staff around how to discuss marijuana use in a non-judgmental manner.

B. Integrate regular screening for marijuana use into routine workflows.

C. Focus on preventing harms associated with marijuana use during the postpartum period.

D. Provide scientific and accurate information.


23. Efforts should be made to prioritize marijuana use as a health problem rather than a criminal act in states that have not decriminalized recreational use.

A. True

B. False


24. Which of the following is an action that should be taken to address failure of many protocols and procedures in healthcare settings to accommodate prevention programs?

A. Educate staff around how to discuss marijuana use in a non-judgmental manner.

B. Integrate regular screening for marijuana use into routine workflows.

C. Focus on preventing harms associated with marijuana use during the postpartum period.

D. Provide scientific and accurate information.


25. Which of the following is an action that should be taken to address wide variance of regulations affecting marijuana use by state?

A. Educate staff around how to discuss marijuana use in a non-judgmental manner.

B. Integrate regular screening for marijuana use into routine workflows.

C. Focus on preventing harms associated with marijuana use during the postpartum period.

D. Provide scientific and accurate information.


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