Screening questions for alcohol and drug abuse should be included in the overall assess-ment during the first prenatal visit for all women
The 4 Ps Plus is a screening tool de-signed specifically to identify when there is a need for a more in-depth assessment. The 4 Ps include all except: a. Present
b. Partner
c. Past
d. Pregnancy
A
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A The first P is Parents. The patient should be asked, "Did either of your parents have a problem with alcohol or drugs?"
B The second P is Partner. "Does your partner have a problem with alcohol or drugs?"
C The third P is Past. "Have you ever had any beer, wine or liquor?"
D The fourth P is Pregnancy. "In the month before you knew you were pregnant, how many cigarettes did you smoke? How much beer, wine, or liquor did you drink?"
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