Wk: 7 NAS and congenital abnormalities

Question 1

What is NAS?

Answer 1

= where the fetus/neonate has been exposed to recreational, prescribed and/or elicit drugs inutero and postnatally and there is a sudden cessation of the drug exposure resulting in withdrawal behaviours.

Question 2

How does NAS present?

Answer 2

• generally 24-72hrs

Question 3

What are some symptoms of NAS?

Answer 3

• CNS related chnages
• Hypersensitivity
• Respiratory distress
• Gastrointestinal disctubance
• Autonomic nervous system dysfunction
• high pitched cry
• Hyperirritability
• Seziures
• Sleep deprivation
• Sleep fragmentation
• Sneezing
• Excessive suck
• Poor excessie feeding
• Yawning
• Tachypnoea
• Hypertension
• Tachycardia
• Sweating
• Diarrhoea
• Excessive weight loss
  Vomiting
• Hypertension
• Hypertonia
• Tremors

Question 4

What doe the symptoms of NAS depend on?

Answer 4

• types of drug
• frequency and length of use
• prem or term

Question 5

What are some maternal, neonatal and fetal implications of smoking in pregnancy?

Answer 5

Maternal
Difficulty getting pregnant
Early placental sepreation-> APH, placenta abruption
placenta/vasa previa
Extopic pregnancy

Fetal
Preterm birth
Congenital anomalies/abnormalities
SGA
FGR
Fetal demise
FDIU

Neonatal
Neonatal withdrawal
Poor feeding
Poor weight gain
SIDS
Infant death
Misscariage
Birth defects including;
Celf lip/pallet
Club foot
Gastroschisis
Some heart defects
Cryptorchidism