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Meds 2 > Pregnancy > Flashcards

Pregnancy Flashcards

1
Q

Pregnancy testing positive when?

A

Urine - positive after 2 weeks

Serum - 9 days

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2
Q

Pregnancy trimesters

A

FIrst trimesters - until 14wk
2nd - 28 wk
3rd - delivery

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3
Q

Which position bad for pregnancy?

A

Supine b/c compression of IVC - supine htn

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4
Q

Which position good for pregnancy?

A

Semi-reclining position, frequent position changes, tilt pt to left

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5
Q

Ideal weight gain for non-obese pregnant pt?

A

25-35 lb, mostly maternal reserve and fetus

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6
Q

CV changes in pregnancy?

A

Plasma volume and cardiac output increased

Peripheral resistance and BP decreased

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7
Q

Respiratory changes?

A

increased minute ventilation, tidal volume

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8
Q

Reclining position can impair what in 3rd trimester

A

respiratory function

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9
Q

GI changes in pregnancy

A

gums hyperemic
decreased motility of GI tract
relaxed esophageal sphincter - GERD, risk of aspiration
Nausea/vomiting

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10
Q

When do pregnant patients get most nausea?

A

1st trimester

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11
Q

Advise patients to do what regarding vomiting?

A

1 tsp baking soda in water, after vomiting

don’t brush

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12
Q

Pregnancy gingivitis how common?

A

50-70%

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13
Q

Pregnancy gingivitis signs?

A

hormones cause hypertrophy of gums

inflammation and bleeding

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14
Q

Why does pregnancy gingivitis occur?

A

hormonal change causes shift in bacterial flora

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15
Q

Pregnancy tumor aka?

A

pyogenic granuloma

lobular capillary hemangioma

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16
Q

pregnancy tumor occurence rate? where?

A

10% women

inflamed gums in interproximal areas of max gingiva

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17
Q

Pregnancy tumor treatment?

A

most resolve, but if not then surgery

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18
Q

Association between periodontal disease and preterm birth? Intervention helps?

A

yes, no

19
Q

Caries relationship to pregnancy?

A

No increased risk, but already present might be exacerbated

20
Q

Periods of Gestation?

A

Pre-implant: before 3rd week
Embryonic - before 8th week organogenesis
Fetal - after 8weeks

21
Q

Common period where teratogen afcts?

A

embryonic

22
Q

FDA drug pregnancy categories?

A

A - human studies no risk
B - animal no risk, no human OR animal risk but human no risk
C - animal risk but no human studies
D - human risk but benefits outweigh risk
X - risks in human and benefits dont outweigh

23
Q

Drugs contraindicated in pregnancy?

A 
Anticonvulsants
Antineoplastic
Antimicrobial
Androgens
Warfarin
ACE inhibitor
Retinoids
24
Q

Tetracyclines can do what to baby?

A

discolor

25
Q

Sulfonamides and Nitrofurantoins timing?

A

Safe in 2nd/3rd trimester, avoid in 1st

26
Q

Analgesics concern in pregnancy?

A

ductus arteriosus closure

27
Q

Acetaminophen in pregnancy?

A

safe!

28
Q

aspirin safe?

A

no

29
Q

Ibuprofen/Naproxen?

A

avoid 1st and 3rd

30
Q

General anesthesia concerns in pregnancy?

A

difficult breathing in late pregnancy

31
Q

NO and LA’s?

A

good

32
Q

SAFE radiologic tests in preganncy?

A

ultrasound, MRI, radiation

33
Q

Dental xray rads

A

0.0001

34
Q

Which radiologic test is bad?

A

radioactive iodine

35
Q

Tests to use cuatiously

A

radiopaque contrast agents (cautiously)
Paramagnetic contrast agents for MRI
Radionucleotide testing

36
Q

Radiation teratogenic effects

A

microcephaly

growth and mental retardation

37
Q

Radiation effects greatest when?

A

3-10wk

38
Q

Do major dentistry in which?

A

2nd and 3rd trimester

39
Q

Infants breastfeeding exclusively for?

A

1st 5 mo

40
Q

breastfeeding contraindicated when?

A

Taking antineoplastic, thyrotoxic and immunosuppressive agents
Recieving radioactive isotopes
Chemo or radiation therapy

41
Q

Safe medications for breastfeeding?

A 
Antibiotics
Analgesics
Antihistamines
IV contrast agents
Nasal decongestants
42
Q

Resource for looking up medicines in breastfeeding?

A

Reprotox

43
Q

May use “bad” meds during breastfeeding using what technique?

A

Pump and dump

44
Q

Highest rate of contraception?

A

Implant

Meds 2 (7 decks)

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