Executive function is the higher order process involved in thought and action under conscious control, usually to achieve a goal. It involves planning, inhibition, working memory, organized speech, set-shifting, strategy employment, flexible thinking, and fluency.17 Executive function is probably mediated by the frontal cortex, and prenatal alcohol exposure may affect frontal cortex development.17 Neuropsychologic measures of executive function assess organization, planning, working memory, inhibition of inappropriate responses, and set-shifting.2