Pregnancy and Lactation

Frage 1 von 58

1

How many weeks constitute a term pregnancy?

Wähle eine der folgenden:

24-30 weeks
30-35 weeks
37-42 weeks
44-46 weeks

Erklärung

Frage 2 von 58

1

Klicke auf jeden orangenen Punkt und wähle die korrekte Antwort.

Fill the table below with the appropriate Physiologic/Pharmacokinetic changes

{"33.241_17.9211":[{"id":12658975,"answer":"increase in hepatic metabolism","x":33.241,"y":17.9211},{"id":12658976,"answer":"decrease in hepatic metabolism","x":33.241,"y":17.9211}],"33.5321_39.0739":[{"id":12658977,"answer":"thinning of barrier","x":33.5321,"y":39.0739},{"id":12658978,"answer":"thickening of barrier","x":33.5321,"y":39.0739}],"60.4624_17.8285":[{"id":12658991,"answer":"increase metabolism","x":60.4624,"y":17.8285},{"id":12658992,"answer":"decreased metabolism","x":60.4624,"y":17.8285}],"33.1555_58.7321":[{"id":12658979,"answer":"increased renal blood flow","x":33.1555,"y":58.7321},{"id":12658980,"answer":"decreased renal blood flow","x":33.1555,"y":58.7321}],"61.2157_36.2656":[{"id":12658993,"answer":"increased distribution","x":61.2157,"y":36.2656},{"id":12658994,"answer":"decreased distribution","x":61.2157,"y":36.2656}],"24.675_75.2728":[{"id":12658981,"answer":"increased blood volume","x":24.675,"y":75.2728},{"id":12658982,"answer":"decreased blood volume","x":24.675,"y":75.2728}],"55.7517_57.1438":[{"id":12658995,"answer":"increased GFR","x":55.7517,"y":57.1438},{"id":12658996,"answer":"decreased GFR","x":55.7517,"y":57.1438}],"80.2365_32.9689":[{"id":12659007,"answer":"increased maternal concentration","x":80.2365,"y":32.9689},{"id":12659008,"answer":"decreased maternal concentration","x":80.2365,"y":32.9689}],"42.76_76.1008":[{"id":12658983,"answer":"increased albumin concentration","x":42.76,"y":76.1008},{"id":12658984,"answer":"decreased albumin concentration","x":42.76,"y":76.1008}],"86.6395_18.6527":[{"id":12659005,"answer":"increased concentration","x":86.6395,"y":18.6527},{"id":12659006,"answer":"decreased concentration","x":86.6395,"y":18.6527}],"68.7487_58.2437":[{"id":12658997,"answer":"increased elimination","x":68.7487,"y":58.2437},{"id":12658998,"answer":"decreased elimination","x":68.7487,"y":58.2437}],"54.6244_76.4061":[{"id":12658999,"answer":"increased distribution","x":54.6244,"y":76.4061},{"id":12659000,"answer":"decreased distribution","x":54.6244,"y":76.4061}],"24.1159_90.936":[{"id":12658985,"answer":"decrease motility","x":24.1159,"y":90.936},{"id":12658986,"answer":"increased motility","x":24.1159,"y":90.936}],"32.9632_90.9312":[{"id":12658987,"answer":"increased intestinal blood flow","x":32.9632,"y":90.9312},{"id":12658988,"answer":"decreased intestinal blood flow","x":32.9632,"y":90.9312}],"43.1366_92.5843":[{"id":12658989,"answer":"increased gastric pH","x":43.1366,"y":92.5843},{"id":12658990,"answer":"decreased gastric pH","x":43.1366,"y":92.5843}],"68.5604_76.4061":[{"id":12659001,"answer":"increased protein binding","x":68.5604,"y":76.4061},{"id":12659002,"answer":"decreased protein binding","x":68.5604,"y":76.4061}],"92.8541_43.958":[{"id":12659009,"answer":"increased fetal concentration","x":92.8541,"y":43.958},{"id":12659010,"answer":"decreased fetal concentration","x":92.8541,"y":43.958}],"86.2628_56.87":[{"id":12659011,"answer":"increased concentration","x":86.2628,"y":56.87},{"id":12659012,"answer":"decreased concentration","x":86.2628,"y":56.87}],"55.9427_92.0654":[{"id":12659003,"answer":"increased absorption","x":55.9427,"y":92.0654},{"id":12659004,"answer":"decreased absorption","x":55.9427,"y":92.0654}],"80.6098_75.8499":[{"id":12659013,"answer":"increase concentration","x":80.6098,"y":75.8499},{"id":12659014,"answer":"decrease concentration","x":80.6098,"y":75.8499}],"95.679_76.1313":[{"id":12659015,"answer":"increased free drug concentration","x":95.679,"y":76.1313},{"id":12659016,"answer":"decreased free drug concentration","x":95.679,"y":76.1313}],"86.8278_93.1643":[{"id":12659017,"answer":"increased concentration","x":86.8278,"y":93.1643},{"id":12659018,"answer":"decreased concentration","x":86.8278,"y":93.1643}]}

Erklärung

Frage 3 von 58

1

Which of the following are true in regards to medication use in pregnancy? (select all that apply)

Wähle eine oder mehr der folgenden:

eliminate nonessential drugs
discourage self-medication
minimize exposure to harmful medications
adjust doses for use during pregnancy

Erklärung

Frage 4 von 58

1

What vaccinations should be administered during pregnancy?

Wähle eine oder mehr der folgenden:

Inactivated influenza vaccine
Tdap ( @ 27-36 weeks)
Hepatitis B
Hepatitis A
Meningitis

Erklärung

Frage 5 von 58

1

Why are multivitamins used during pregnancy?

Wähle eine der folgenden:

fetal bone development
maternal and fetal erythropoiesis
prevent neural tube defect

Erklärung

Frage 6 von 58

1

Why is calcium used during pregnancy?

Wähle eine oder mehr der folgenden:

maternal and fetal erythropoiesis
fetal bone development
prevent neural tube defect
prevention of HTN

Erklärung

Frage 7 von 58

1

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is used during pregnancy to prevent neural tube defects

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Frage 8 von 58

1

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Drugs with a molecular weight of less than daltons readily cross the placenta barrier.

Erklärung

Frage 9 von 58

1

Lipophilic drugs will cross the placental barrier more than hydrophilic drugs

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 10 von 58

1

Which albumin levels are higher, fetal or maternal?

Wähle eine der folgenden:

fetal
maternal

Erklärung

Frage 11 von 58

1

Fetal blood pH < maternal, therefore weak bases more easily cross, ionize, and less likely to diffuse back across the placental barrier

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 12 von 58

1

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Only drugs can cross placental membranes

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Frage 13 von 58

1

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Blood flow to impacts drug transfer to fetus

Erklärung

Frage 14 von 58

1

What is the drug of choice for the treatment of hyperemesis gravidarum?

Wähle eine der folgenden:

ondansetron
pyridoxine
doxylamine
phosphoric acid

Erklärung

Frage 15 von 58

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The treatment of choice for nausea and vomiting during pregnancy is ( nonpharmacological treatment, pyridoximine and doxylamine, emetrol )

Erklärung

Frage 16 von 58

1

What is the first line or drug of choice for nausea and vomiting during pregnancy?

Wähle eine oder mehr der folgenden:

pyridoxine
doxylamine
phosphoric acid
metoclopramide

Erklärung

Frage 17 von 58

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

For nausea and vomiting during pregnancy, ( phosphoric acid, metoclopramide, dopamine, diclegis ) should not be used if the patient is a diabetic

Erklärung

Frage 18 von 58

1

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

Nausea and Vomiting
2nd line therapy is ( metoclopramide, ondansetron, doxylamine, promethazine )
3rd line therapy is ( dopamine antagonist, dicelgis, ondansetron, methylprednisone )

Erklärung

Frage 19 von 58

1

Fülle die Lücken, um den Text zu vervollständigen.

First line line treatment for constipation during pregnancy is incerase and intake

Erklärung

Frage 20 von 58

1

What drugs should not be used to treat constipation during pregnancy?

Wähle eine oder mehr der folgenden:

osmotic laxatives
docusate
castor oil
mineral oil
senna
bsicodyl

Erklärung

Frage 21 von 58

1

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

GERD/Heartburn

1st line: ( Lifestyle Modifications, antacids or sucralfate, metoclopramide, PPIs )
2nd line: ( antacids or sucralfate, sodium bicarbonate, Ranitidine, PPIs )

Erklärung

Frage 22 von 58

1

Which of the following treatment can be used to treat Hemorrhoids during a pregnancy?

Wähle eine oder mehr der folgenden:

Higher fiber intake
increase oral fluid intake
use sitz baths
Topical anesthetics, protectants, and astringents
tylenol

Erklärung

Frage 23 von 58

1

Bulk forming agents should be utilized to treat diarrhea during pregnancy, what drugs should be avoided?

Wähle eine oder mehr der folgenden:

Diphenoxylate/atropine
paregoric
bismuth subsalicylate
psyllium/fiber

Erklärung

Frage 24 von 58

1

Saline nasal spray/drops are safe to use during pregnancy in the treatment of cough, colds, and allergies

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 25 von 58

1

What is the drug of choice to treat cold , cough, and allergies during pregnancy?

Wähle eine der folgenden:

chlorpheniramine
diphenhydramine
loratidine
budesonide

Erklärung

Frage 26 von 58

1

What drugs are recommended during the 2nd and 3rd trimesters in the treatment of cough, cold, and allergies during pregnancy?

Wähle eine oder mehr der folgenden:

diphenhydramine
loratidine
cetirizine
beclomethasone

Erklärung

Frage 27 von 58

1

What nasal steroids are recommended for chronic allergies during pregnancy?

Wähle eine oder mehr der folgenden:

Budesonide (Rhinocort)
Beclomethasone (Beconase AQ)
Advair

Erklärung

Frage 28 von 58

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

( Acetaminophen, opioids, NSAIDs, aspirin ) is the drug of choice for acute pain managment during pregnancy

Erklärung

Frage 29 von 58

1

What is the drug of choice in the treatment of HTN and severe eclampsia?

Wähle eine der folgenden:

labetalol
hydralazine
IV magnesium

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Frage 30 von 58

1

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IV is used for seizure protection and treatment

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Frage 31 von 58

1

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Pharmacological treatment for gestational HTN should be started if the systolic BP is greater than OR the diastolic is greater than

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Frage 32 von 58

1

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Essential/Gestational HTN

1st line (DOC):
2nd line:

Erklärung

Frage 33 von 58

1

Coagulation Disorders

You need to continue treatment for women with history of Deep Vein Thrombosis/Pulmonary Embolism, Mitral Valve Replacement, clotting factor deficiencies, antiphospholipid antibodies

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 34 von 58

1

Fülle die Lücken, um den Text zu vervollständigen.

Coagulation Disorders

1st line:
2nd line:

Treatment is to be contiuned through pregnancy and weeks after delivery (including breastfeeding)

Erklärung

Frage 35 von 58

1

Which of the following drugs are contraindicated in the treatment of UTIs during pregnancy?

Wähle eine oder mehr der folgenden:

Cephalexin
Ampicillin
SMX-TMP
Fluoroquinolines
Tetracyclines

Erklärung

Frage 36 von 58

1

What are the top drug choices in the treatment of UTIs during pregnancy?

Wähle eine oder mehr der folgenden:

Cephalexin
Ampicillin
Nitrofurantoin
Tetracyclines

Erklärung

Frage 37 von 58

1

What drugs are utilized in the treatment of pyelonephritis?

Wähle eine oder mehr der folgenden:

Ceftriaxone
Ampicillin plus gentamicin
Ampicillin-sulbactam
nitrofurantoin
cephalexin

Erklärung

Frage 38 von 58

1

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

STI's

Drug of choice syphillis: ( penicillin G, ceftriaxone, amoxicillin, erythromycin )
Drug of choice for gonorrhea: ( ceftriaxone, penicillin G, amoxicillin, erythromycin )
Durg of choice for chlamydia: ( amoxicillin, ceftriaxone, penicillin G, erythromycin ) ; 2nd line: ( erythromycin, amoxicillin, ceftriaxone, penicillin G )

Erklärung

Frage 39 von 58

1

Acyclovir/valacyclovir is used in the treatment of genital herpes during pregnancy

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 40 von 58

1

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is the treatment of choice for bacterial vaginosis, and the alternative treatment is clindaymcin

Erklärung

Frage 41 von 58

1

Fülle die Lücken, um den Text zu vervollständigen.

Asthma

is the short acting beta agonist of choice and is the inhaled corticosteriod of choice during preganancy

Erklärung

Frage 42 von 58

1

During pregnancy, changing agents to minimize risk is NOT recommended for the treatment of epilepsy

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 43 von 58

1

What drugs are the safest to use to treat epilepsy during pregnancy?

Wähle eine oder mehr der folgenden:

lamotrigine
levetiracetam
valproic acid
carbamazepine

Erklärung

Frage 44 von 58

1

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

HIV during pregnancy

New diagnosed: ( HAART, Zidovudine, efavirenz, clindamycin )
( Zidovudine, HAART, efavirenz, clindamycin ) is the mainstay of antiretroviral therapy
Avoid ( efavirenz, Zidovudine, HAART, clindamycin )

Erklärung

Frage 45 von 58

1

Treatment of schizophrenia, bipolar disorder, depression usually needs to be continued during pregnancy and breastfeeding; high relapse rates if discontinued

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 46 von 58

1

What are the most preferred agents in the treatment of mental health issues in pregnant women?

Wähle eine oder mehr der folgenden:

fluoxetine
citalopram
escitalopram
levetiracetam

Erklärung

Frage 47 von 58

1

Nortriptyline and desipramine are TCAs of choice in the treatment of mental health issues during pregnancy

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 48 von 58

1

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Treatment of choice for HYPOthryoridism:
Treatment of choice for HYPERthryroidism: or

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Frage 49 von 58

1

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is the prcoess of stopping contractions

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Frage 50 von 58

1

What drugs are utilized in pre-term labor and tocolysis?

Wähle eine oder mehr der folgenden:

IV magnesium
terbutaline
nifedipine
promethazine

Erklärung

Frage 51 von 58

1

What drugs are needed for cervical ripening?

Cervical ripening: in order to dilate, collagen must loosen and separate; moisture necessary; occurs naturally in women who spontaneously enter labor

Wähle eine oder mehr der folgenden:

misoprostol
dinoprostone
oxytocin
methylergonovine

Erklärung

Frage 52 von 58

1

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

Labor induction

1st line: ( oxytocin, Methylergonovine, misoprostol, dinoprostone )
2nd line: ( methylergonovine, dinoprostone, misoprostol, Oxytocin )

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Frage 53 von 58

1

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If mother colonized with Group B Streptococcus:

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Frage 54 von 58

1

Analgesia can prolong the 1st and 2nd stages of labor

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 55 von 58

1

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analgesia has better profile than parenteral opioids (poor maternal pain relief and less vigorous neonates)

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Frage 56 von 58

1

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Drug FactorsGeneral Guidelines

Most drugs appear in breast milk to some degree. Most common mechanism of transfer is passive diffusion.

Levels of most drugs in breast milk do not usually exceed 1% to 2% of ingested maternal dosage

If the milk/plasma ratio of drug and active metabolites is less than , it is usually safe to breastfeed

RID: If infant dose is less than % of maternal dose (weight adjusted), it is usually safe to breastfeed

Erklärung

Frage 57 von 58

1

Depression

Sertraline and paroxetine are most frequently prescribed with few reported adverse effects,

Wähle eins der folgenden:

WAHR
FALSCH

Erklärung

Frage 58 von 58

1

breast milk is more acidic; weak bases are more likely to stay trapped in breast milk “ion trapping:

Wähle eins der folgenden:

WAHR
FALSCH

	Erstellt von Mark W. vor mehr als 7 Jahre

NAPLEX Pharmacy (Endo) Quiz am Pregnancy and Lactation, erstellt von Mark W. am 14/12/2016.

Pregnancy and Lactation

Frage 1 von 58

How many weeks constitute a term pregnancy?

Wähle eine der folgenden:

Erklärung

Frage 2 von 58

Klicke auf jeden orangenen Punkt und wähle die korrekte Antwort.

Fill the table below with the appropriate Physiologic/Pharmacokinetic changes

Erklärung

Frage 3 von 58

Which of the following are true in regards to medication use in pregnancy? (select all that apply)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 4 von 58

What vaccinations should be administered during pregnancy?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 5 von 58

Why are multivitamins used during pregnancy?

Wähle eine der folgenden:

Erklärung

Frage 6 von 58

Why is calcium used during pregnancy?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 7 von 58

Fülle die Lücke, um den Text zu vervollständigen

is used during pregnancy to prevent neural tube defects

Erklärung

Frage 8 von 58

Fülle die Lücke, um den Text zu vervollständigen

Drugs with a molecular weight of less than daltons readily cross the placenta barrier.

Erklärung

Frage 9 von 58

Lipophilic drugs will cross the placental barrier more than hydrophilic drugs

Wähle eins der folgenden:

Erklärung

Frage 10 von 58

Which albumin levels are higher, fetal or maternal?

Wähle eine der folgenden:

Erklärung

Frage 11 von 58

Fetal blood pH < maternal, therefore weak bases more easily cross, ionize, and less likely to diffuse back across the placental barrier

Wähle eins der folgenden:

Erklärung

Frage 12 von 58

Fülle die Lücke, um den Text zu vervollständigen

Only drugs can cross placental membranes

Erklärung

Frage 13 von 58

Fülle die Lücke, um den Text zu vervollständigen

Blood flow to impacts drug transfer to fetus

Erklärung

Frage 14 von 58

What is the drug of choice for the treatment of hyperemesis gravidarum?

Wähle eine der folgenden:

Erklärung

Frage 15 von 58

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The treatment of choice for nausea and vomiting during pregnancy is nonpharmacological treatment pyridoximine and doxylamine emetrol( nonpharmacological treatment, pyridoximine and doxylamine, emetrol )

Erklärung

Frage 16 von 58

What is the first line or drug of choice for nausea and vomiting during pregnancy?

Wähle eine oder mehr der folgenden:

Erklärung

Frage 17 von 58

Wähle von der Aufklappliste, um den Text zu vervollständigen.

For nausea and vomiting during pregnancy, phosphoric acid metoclopramide dopamine diclegis( phosphoric acid, metoclopramide, dopamine, diclegis ) should not be used if the patient is a diabetic

Erklärung

Frage 18 von 58

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

Nausea and Vomiting 2nd line therapy is metoclopramide ondansetron doxylamine promethazine( metoclopramide, ondansetron, doxylamine, promethazine ) 3rd line therapy is dopamine antagonist dicelgis ondansetron methylprednisone( dopamine antagonist, dicelgis, ondansetron, methylprednisone )

Erklärung

Frage 19 von 58

Fülle die Lücken, um den Text zu vervollständigen.

First line line treatment for constipation during pregnancy is incerase and intake

Erklärung

Frage 20 von 58

What drugs should not be used to treat constipation during pregnancy?

The treatment of choice for nausea and vomiting during pregnancy is ( nonpharmacological treatment, pyridoximine and doxylamine, emetrol )

For nausea and vomiting during pregnancy, ( phosphoric acid, metoclopramide, dopamine, diclegis ) should not be used if the patient is a diabetic

Nausea and Vomiting
2nd line therapy is ( metoclopramide, ondansetron, doxylamine, promethazine )
3rd line therapy is ( dopamine antagonist, dicelgis, ondansetron, methylprednisone )

GERD/Heartburn

1st line: ( Lifestyle Modifications, antacids or sucralfate, metoclopramide, PPIs )
2nd line: ( antacids or sucralfate, sodium bicarbonate, Ranitidine, PPIs )

( Acetaminophen, opioids, NSAIDs, aspirin ) is the drug of choice for acute pain managment during pregnancy

Essential/Gestational HTN

1st line (DOC):
2nd line:

Coagulation Disorders

You need to continue treatment for women with history of Deep Vein Thrombosis/Pulmonary Embolism, Mitral Valve Replacement, clotting factor deficiencies, antiphospholipid antibodies

Coagulation Disorders

1st line:
2nd line:

Treatment is to be contiuned through pregnancy and weeks after delivery (including breastfeeding)