• Social Work
  • Counseling
  • Marriage and Family Therapy
  • Psychology
Hours: 3 Contact Hours
Author(s): Anita Carroll, RN, MSN, EdD
Peer Reviewer(s): Maureen Shogan, MN, RNC
Item#: B4160
1 Course Book (36 pages)

Drug Abuse During Pregnancy: The Impact on the Fetus and Infant

Price $29.95
Item # B4160
When available, the Online Course format is included with the hard copy, eBook, or audio book formats!

Perinatal drug abuse is a significant public health issue in the United States. In addition to using illicit drugs, pregnant women may use alcohol and tobacco and may abuse prescription drugs. Substances of abuse addressed in this course include opiates (narcotics) such as heroin and oxycodone; nicotine from cigarette smoking; inhalants (legal substances such as cleaning products, glue, and nail polish); marijuana; phencyclidine (PCP); and sedative-hypnotics (i.e., tranquilizers). Specific stimulants discussed are cocaine and crack; designer amphetamines, such as Ecstasy (MDMA); and methamphetamines, also known as crystal meth. The ability of substances to pass through breast milk is discussed. 

Participants will learn about assessment of neonates suspected of in utero drug exposure and care of such newborns during the immediate postbirth and neonatal period. These newborns may require immediate medical attention for a long list of complications, including premature birth and low birth weight. Areas for ongoing assessment of the child include muscle tone development, communication development, and attention span. Long-term educational and developmental needs can stem from delays in cognitive or learning abilities, attention deficit/hyperactivity disorder, mood dysfunction, peer-related problems, decreased IQ, poor academic performance, and adolescent behavior problems. The environment of a child born to a mother who is addicted to drugs is discussed. Parents may be incarcerated, unemployed, or living in poverty and may not have access to adequate health care. Parental mental illness, such as chronic depression, is reviewed. 

This basic-level course is appropriate for social workers, counselors, therapists, and psychologists who work with pregnant women in antenatal, intrapartum, and postpartum setting and/or with newborns in hospitals, health clinics, and mental health agencies.

Participants will receive 3 (Clinical Content) continuing education clock hours upon successfully completing this course.

Counselors - course does not qualify for NBCC credit.

Course Objectives
  • Identify the magnitude of drug use during pregnancy in the United States.
  • Describe the types of addictive drugs used by pregnant women.
  • Describe the possible effects addictive drugs have on the fetus newborn and breast-feeding infant.
  • Describe appropriate assessment of a newborn suspected of maternal drug exposure.
  • Describe appropriate initial and ongoing care of a newborn with drug exposure.
  • Describe specific considerations for the drug-exposed newborn's parent or caretaker.
Anita Carroll, RN, MSN, EdD, has taught all levels of professional nursing for over 30 years. She currently teaches in the bachelor of science in nursing program at West Texas A&M University in Canyon Texas. She has taught courses in maternal-newborn health neonatal health pharmacology management and fundamentals. She has also helped develop master's level tracks and courses for neonatal clinical nurse specialists and nursing education. She was a childbirth educator for 10 years and implemented a March of Dimes grant. She has presented more than 120 programs in maternal-newborn nursing to community hospitals and has certified numerous nurses as neonatal cardiopulmonary resuscitation providers and instructors. She received the Texas Nurse of the Year Award from the Texas Nurses Association in 1996 as well as many other teaching awards throughout her career.
Maureen Shogan, MN, RNC, is the neonatal clinical nurse specialist for a 46-bed neonatal intensive care unit at Deaconess Medical Center in Spokane, WA. She has worked with newborns exposed to drugs for more than 25 years. She also worked with pregnant and addicted moms on an inpatient chemical dependency unit in a consultant role for 10 years. She has served on several editorial boards and has been published in revered nursing journals. She was instrumental in developing and refining the Washington State Department of Health guide “Substance Abuse During Pregnancy: Guidelines for Screening” for state health care providers. She has presented daylong workshops on “The Effects of Maternal Drug Use on the Newborn” since 1992. She is internationally known as a dynamic, witty speaker on numerous neonatal critical care topics.
  • Contact hours will be awarded for up to one (1) year from the date the course is ordered.
  • You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
  • Through our review processes, Western Schools ensures that this course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
  • All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.