Child Welfare License (CWEL) Practice Exam 2025 – Complete Study Resource

The primary concern regarding maternal substance abuse focuses on the health impacts on the unborn child. When a pregnant individual abuses substances, it can lead to a range of severe health problems for the developing fetus. This includes developmental delays, low birth weight, congenital disabilities, neonatal withdrawal syndrome, and long-term cognitive and behavioral issues. The direct effects of substances like alcohol, prescription drugs, or illicit drugs can interfere with the normal growth and development of the fetus, which is why this issue is a critical concern for child welfare.

While other aspects, such as potential legal issues for the mother or increased stress for the family, are relevant, they do not directly impact the health and well-being of the unborn child in the same fundamental way. Societal judgment on the mother can be damaging and stigmatizing but again, it does not carry the immediate and critical significance that the health of the unborn child does. Understanding and addressing the health implications for the child is paramount in the context of maternal substance abuse.