Pregnancy

Question 1

Guaifenisin

Answer 1

Cough suppresants - may cause inhuinal hernias

Question 2

Promethazine

Answer 2

AH - Persistant N/V - (Can cause sedation/dystonia) lower seizure threshold

Question 3

Omeprazole

Answer 3

PPI - GERD

Question 4

Cetylpyridinium

Answer 4

Lozenge for Rhinorrhea, sneezing, throat pain (safe for preggo)

Question 5

Prednisone

Answer 5

Glucocorticoids - Refractory N/V- Avoid in 1st tri

Question 6

Which antifungals are not ok for pregnancy

Answer 6

Butoconazole Miconazole Ticonazole

Question 7

Methyldopa

Answer 7

Chronic HTN / preeclampsia

Preferred agent during pregnancy

Question 8

Ginger

Answer 8

Reduces nausea/not vomiting

Question 9

Diphenhydramine/Chlorpheniramine for Cough & Cold

Answer 9

Antihistamine (perferred)

Question 10

Ranitidine

Answer 10

H2 Antagonists - GERD

Question 11

How much folic acid if previous child has NTD?

Answer 11

4 mg of folic acid at least 1 month before pregnancy and throughout 1st trimester

Question 12

Meclizine

Answer 12

Antihistamine- persistant N/V - (DC doxylamine prior) -Causes Cleft pallet

Question 13

Loperamide

Answer 13

Diarrhea (however human studies inconclusive)

Question 14

Valproic acid

Answer 14

Teratogens - Neural tube defects

Question 15

Most recommended Rx constipation

Answer 15

Fiber, Docusate

Question 16

Which ABX are not ok for pregnancy

Answer 16

Trimethoprim/Sulfamethoxazole Levofloxacin Ciprofloxacin Tetracycline Doxycycline

Question 17

Methylprednisolone

Answer 17

Glucocorticoids - Refractory N/V- Avoid in 1st tri

Question 18

Best Rx for pain/fever is

Answer 18

APAP

Question 19

Aluminum and calcium based products for antacids are

Answer 19

GERD - Constipating

Question 20

Folic acid during preggo

Answer 20

Prenatal + at least 1000mcg/D

Question 21

Diphenhydramine for N/V

Answer 21

Antihistamine- persistant N/V - (DC doxylamine prior)

Question 22

What topical cream/ointments are not ok for pregnancy

Answer 22

High-potency steroids Tretinoin - retinoids

Question 23

Metformin

Answer 23

Non-insulin Rx for GDM (cat-B)

Question 24

Methyldopa - Labetalol

Answer 24

Preeclampsia - Chronic HTN

Question 25

Thalidomide

Answer 25

Teratogens - Limb, spine, central nervous system defects (CNS)

Question 26

lansoprazole

Answer 26

PPI - GERD

Question 27

P6 acupressure point

Answer 27

Nonpharm - reduces nausea

Question 28

Cimetidine

Answer 28

H2 Antagonists - GERD

Question 29

Nifedipine - Hydralazine - Labetalol - NHL

Answer 29

Preeclampsia - Urgent/ER HTN

Question 30

Doxylamine

Answer 30

Antihistamine (Added w/ Pyridoxine) 1st line pharm for N/V

Question 31

Magnesium based products for antacids are

Answer 31

GERD - Diarrheal

Question 32

Is bismuth subsalicylate ok for GERD in pregnancy

Answer 32

No

Question 33

Isotretinoin

Answer 33

Teratogens - Ear, CNS, and cardiac defects

Question 34

Prochlorperazine

Answer 34

Dopamine antagonist - Persistant N/V w/out dehydration

Question 35

Insulin

Answer 35

Preferred GDM medication

Question 36

Fexofenadine, loratadine, and cetirizine

Answer 36

Antihistamine - second line for cough and cold

Question 37

All insulin is preg cat B except

Answer 37

Glargine and glulisine (cat-C)

Question 38

Hydrocortisone

Answer 38

Glucocorticoids - Refractory N/V- Avoid in 1st tri

Question 39

Oxymetazoline

Answer 39

(IN) Decongestion - ONLY for short term use <3D

Question 40

Recommended daily iron for pregnancy is

Answer 40

27mg/D

Question 41

What anti-HTN meds are not recommended for pregnancy

Answer 41

BAD - (B-BLK, ACEI/ARB, DIURETICS)

Question 42

Sucralfate

Answer 42

GERD - viscous protective layer - not well absorbed

Question 43

Ondanestron

Answer 43

Serotonin antagonist - Persistant N/V w/ dehydration (preggo concerns)

Question 44

Is Sodium bicarbonate ok for pregnancy

Answer 44

Avoid due to metabolic alkalosis

Question 45

Glyburide

Answer 45

Non-insulin Rx for GDM (cat-B)

Question 46

What supplements can help diarrhea

Answer 46

Calcium and iron

Question 47

Benzonatate

Answer 47

Cough suppresants

Question 48

Metoclopromide

Answer 48

Dopamine antagonist - Persistant N/V w/out dehydration (can cause tardives/dystonia)

Question 49

All decongestant causes what in pregnancy?

Answer 49

Decreased fetal blood flow

Question 50

Nifedipine

Answer 50

2nd line agent for HTN (not in 1st/2nd tri)

Question 51

Pyridoxine (Vit-B6)

Answer 51

reduces Mild-moderate nausea/not vomiting (Causes neuropathy)

Question 52

Magnesium Sulfate

Answer 52

(IV) DOC for eclampsia

Question 53

Most recommended Rx for refractory constipation

Answer 53

Magnesium hydroxide, Lactulose, Bisacodyl

Question 54

Labetalol

Answer 54

2nd line agent for HTN (not in 1st tri)

Question 55

Codeine, hydrocodone and dextromethorphan

Answer 55

Cough suppresants - neonatal withdrawal

Question 56

Folic acid for before/early preggo

Answer 56

400-1000 mcg/D

Question 57

Pantoprazole

Answer 57

PPI - GERD

Question 58

Dont exceed how much vit B6

Answer 58

200mcg/D (neurpathy)

Question 59

When does preeclampsia usually occur?

Answer 59

After 20th week - usually 3rd tri

Question 60

What is eclampsia

Answer 60

A complication of preeclampsia causing a seizure during pregancy