Through evidence appraisal and synthesis, we discovered more information that backed up what we are trying to prove with our PICOT. The evidence gathered in the appraisal was based off of reliable sources and ongoing studies. However, we also realized that there still needs to be more research done regarding the effects of prenatal alcohol consumption on school aged kids in order to support nursing education points when talking to pregnant women about the future consequences of drinking alcohol while pregnant. The literature appraisal and synthesis did not change our assumptions about the topic, it only made them stronger. All of the articles used in our paper has the same results about the cognitive deficits kids have to deal with due to being exposed to alcohol in the womb. Those were the results we were trying to look for because we want to stress on the importance of educating women about all possible effects alcohol consumption could have on their child instead of just telling them it is bad to drink while pregnant.  Our findings will give us a strong base of knowledge with reliable evidence when having the opportunity to talk to women about alcohol and pregnancy. It will enable us all to feel confident while talking about this matter, and make women really see how important it is to look into what the future could look like for a child before deciding to have a drink of alcohol. 

             The team members and I all came to the same conclusion about the findings because all of the articles found backed up what we assumed in the first place. We all agree that there should be more education for women regarding the future of their child when exposed to alcohol in the womb, and that there should be even more research done to make the education points stronger. Our team came to some confusion while creating the critical appraisals. Since we have 5 people in our group and there are only 4 articles, there was miscommunication between group members on how to split it up. We should have worked more as a team instead of doing the articles we separately found and not communicating about them. The one person who did not have an article did part of one of the group members while another thought she was helping with hers. That lead to there being no critical appraisal for one of the articles and it led to confusion and troubles creating the annotated bibliography. This was solved way too late since half the group did not even know this happened until there were issues with our annotated bibliography. This confusion is something our group learned from and moving forward we are going to better our communication and write the paper while we are together instead of each doing a separate part.