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Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use.

What are the greatest risk factors for substance use disorder for this patient?
What are the greatest risk factors for substance use disorder for the fetus?
Which harm reduction strategies would you recommend based on the current US clinical guidelines?
What medication would you prescribe?
SCIENCE
HEALTH SCIENCE
NURSING
NUR 650

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