This paper addresses the issues surrounding the widely publicized problem of newborn infants who have been exposed to cocaine before their birth, and suggests ways to prevent the problems associated with fetal exposure to drugs during pregnancy. The paper presents information concerning the effects of prenatal cocaine exposure on infants, toddlers, and school-age children, and the extent of the problem. It is recommended that all pregnant women have access to affordable drug treatment and comprehensive prenatal care. Cocaine-exposed children should: (1) be considered part of the at-risk group eligible for services under the Individuals With Disabilities Act; (2) have access to Head Start programs that have the resources to deal with the problem; (3) be instructed by teachers who have been trained to be aware of the social environment of cocaine-exposed babies and the resources teachers can use to help these children; and (4) have universal access to comprehensive health and social services. Early educational and psychosocial intervention can help ensure that cocaine-exposed children will enter school prepared to achieve their educational potential. Information on the National Health/Education Consortium, and a list of its members, are provided. (MDM)