Foundations Pre-test

Fetal Alcohol Spectrum Disorders Regional Training Centers

Att C1 Arctic RTC - Foundations Pre

Arctic Foundations Pre-test

OMB: 0920-0954

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C1 -Arctic Fetal Alcohol Spectrum Disorder Regional Training Center

Foundations Workshop Pre-Test


For each item, please choose the response that best completes the sentence or answers the question.


  1. The best public health message related to alcohol consumption by women of childbearing age is...

    1. Women who know they are pregnant should not consume alcohol.

    2. Women who are pregnant or could become pregnant should not consume alcohol.

    3. All sexually active women should not consume alcohol.

    4. Women of childbearing age should not consume alcohol.

    5. Alcohol use, in moderation, is safe for all women.


  1. An episode of binge or risky drinking for women of childbearing age (18-44) is defined as more than ____ standard drinks in about a two hour period.

a. 2

b. 3

c. 4

d. 5

e. 6


3. Which one of these is NOT considered a standard drink?

a. 12 ounces of beer

b. 12 ounces of wine cooler

c. 5 ounces of wine

d. 3 ounces of vodka

e. All of the above are standard drinks


  1. Positive responses given to items on the TWEAK or the T-ACE screening instruments indicate…

  1. a diagnosis of alcoholism

  2. the likelihood that the woman will seek treatment for alcohol abuse

  3. the need for the health care provider to discuss the risks associated with drinking alcohol, especially when the woman is pregnant

  4. the difference between binge drinking and problem drinking

  5. the need for immediate admission to a treatment facility for further evaluation


  1. Scientific studies of the effects of alcohol on the fetus have shown that…

    1. Alcohol has no effect on the development of the fetus in the third trimester.

    2. Alcohol can only affect fetal development in the first trimester.

    3. A small to moderate amount of alcohol is safest during the second trimester.

    4. Of all the different types of alcohol, wine is the safest for a pregnant woman to consume.

    5. None of the above is correct.

  1. Although specific deficits experienced by individuals with an FASD vary widely, behavioral deficits are likely to include which of the following?

  1. memory problems, underactivity, and self-injurious behavior

  2. inattention, memory problems and hyperactivity

  3. particular mannerisms, hoarding, and memory problems

  4. emotion regulation, weight loss, fatigue, irritability

  5. auditory hallucinations, disorganized speech, and flat affect


7. Which of the following include all three facial abnormalities associated with fetal alcohol syndrome?

a. Low set ears, large palpebral fissures, large forehead

b. Small palpebral fissures, smooth philtrum, thin upper lip

c. Large palpebral fissures, smooth philtrum, thin upper lip

d. Large forehead, flattened cheeks, small palpebral fissures

e. Thin upper lip, distinct philtrum, ectropion

8. Which of the following is NOT required to confirm a diagnosis of fetal alcohol syndrome (FAS)?

a. Facial dysmorphia

b. Growth retardation

c. Central nervous system (CNS) abnormalities

d. Documentation of prenatal alcohol exposure

e. All of the above are required for a diagnosis of FAS


9. A variety of strategies have been found to be effective when working with individuals with an FASD. Which one of the following may not be as effective?

a. Concise, explicit instructions

b. Stable routines

c. Social cues

d. Visual aids

e. Repetition


10. Which organ system is primarily susceptible to damage or alteration caused by prenatal alcohol exposure?

  1. The circulatory system

  2. The skeletal system

  3. The central nervous system

  4. The reproductive system

  5. The digestive system


11. Growth deficit, central nervous system abnormalities, and a specific set of craniofacial features are all necessary for a diagnosis of which of the following conditions?

  1. Fetal alcohol syndrome

  2. Fetal alcohol spectrum disorder

  3. Alcohol-related neurodevelopmental disorder

  4. Fetal alcohol effects

  5. Static encephalopathy/alcohol exposed


12. Which one of the following is NOT correct?

Persons with an FASD …

  1. May experience problems in school and getting along with other children.

  2. Do not typically need support and services to live and work independently.

  3. Can benefit from obtaining an early diagnosis.

  4. May need support and services throughout their lives.

  5. May be at an increased risk for victimization and high risk behaviors.




Please respond to the following questions about your professional experiences.


1. In your current position, do you…

provide services to women of childbearing age? YES NO

provide services to individuals who may be at risk of an FASD? YES NO


If you, in your current professional position, interact with women of childbearing age for whom alcohol screening is appropriate, please respond to the following two items.

i. What factors discourage you from screening women of childbearing age for alcohol use?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ii. What factors encourage you to screen women of childbearing age for alcohol use?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


On a scale from 0 to 10 where 0 means “Not confident in my skills” and 10 means “Totally confident in my skills,” how confident are you in your skills to do the following? (circle one number per row)



Not confident in my skills










Totally confident in my skills

Screen women for risky or hazardous drinking

0

1

2

3

4

5

6

7

8

9

10

Educate pregnant women about the effects of alcohol on their babies

0

1

2

3

4

5

6

7

8

9

10

Conduct brief interventions for reducing alcohol consumption

0

1

2

3

4

5

6

7

8

9

10

Utilize resources to refer patients who need formal treatment for alcohol abuse

0

1

2

3

4

5

6

7

8

9

10

Identify persons with possible FAS or other prenatal alcohol-related disorders

0

1

2

3

4

5

6

7

8

9

10

Diagnose persons with possible FAS or other prenatal alcohol-related disorders

0

1

2

3

4

5

6

7

8

9

10

Utilize resources to refer patients for diagnosis and/or treatment services

0

1

2

3

4

5

6

7

8

9

10

Manage/coordinate the treatment of persons with FASDs

0

1

2

3

4

5

6

7

8

9

10


Please take a moment to tell us about yourself:

Are you (Circle one):

Male

Female

Transgender



Are you Hispanic or Latino(a)?

Yes

No



How do you describe your race? (Select all that apply)


American Indian/Alaska Native

Asian

Black or African American

Native Hawaiian/Pacific Islander

White








I am the parent/caregiver

of a child with FAS/FASD

If you are a PROFESSIONAL, please circle the one that best represents your current position:


ALLIED HEALTH PROFESSIONAL

Counselor

OT/PT/SLP

Psychologist

Social Worker

Other Allied Health Professional:

Specify: _______________


DENTAL PROFESSIONAL

Dental Assistant

Dental Hygienist

Dentist


MEDICAL PROFESSIONAL

Family Physician

Internal Medicine Physician

Nurse (NP, RN, LPN)

OB/GYN

Pediatrician

Physician Assistant

Psychiatrist

Other Medical Professional

Specify: _______________


OTHER

Administrator

Corrections

Educator, PreK-12

Educator, PreK-12 SpED

Educator, Other

Specify: _______________

Lawyer/Judge

Public Health

Scientist

Other Professional:

Specify: _______________



If you are a STUDENT OR RESIDENT, please circle all that apply:


ALLIED HEALTH STUDENT

Human Services

OT/PT/SLP

Psychology

Social Work

Other Allied Health Student:

Specify: _______________



HEALTH STUDENT

Dental Student

Medical Student

Nursing Student



MEDICAL RESIDENT

Family Physician

Internist

OB/GYN

Pediatrician

Psychiatrist

Other Resident

Specify: _______________


OTHER STUDENT

Counseling Education

Education

Other Student

Specify: _______________

















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