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The 4 primary teratogens are alcohol, tobacco/nicotine, certain medications (e.g., isotretinoin), and infections (e.g., rubella). They can influence development by causing structural abnormalities, growth problems, cognitive impairments, and behavioral issues in the developing fetus. The timing and dose of exposure are critical factors in determining the extent of damage.

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Q: What are the 4 primary teratogens How do they influence development?
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