Pregnancy Flashcards

1
Q

Cyclosporine TERIS category?

A

small-moderate

FDA class C

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2
Q

Lamotrigine TERIS category?

A

minimal-small

FDA class C

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3
Q

nifedipine TERIS category?

A

non-minimal

FDA class C

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4
Q

New labeling rule makes it difficult to make blanket formulary decisions b/c each med will need a more individualized review.

a. true
b. false

A

a. true

requires review of available evidence instead of relying on category designations

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5
Q

___ cause alteration of tissue development or organ formation

a. teratogenic effects
b. adverse fetal effects

A

a. teratogenic effects

occur in 1st trimester

neural tube defects, congenital heart abnormalities, cleft lip/palate, fetal stillbirth

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6
Q

___ results in dysfunction of an organ or tissue after that organ/tissue has been formed

a. teratogenic effects
b. adverse fetal effects

A

b. adverse fetal effects

difficult postnatal adaptation, withdrawal, electrolyte abnormalities, altered glucose metabolism

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7
Q

2 transport mechanisms of placenta?

A
passive diffusion (majority)
P-gp pumps
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8
Q

Tocolytic therapy is generally not utilized beyond __ weeks of gestation

A

34

prolongs pregnancy:

  • terbutaline
  • mag sulfate
  • nifedipine
  • indomethacin
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9
Q

4 tocolytic drugs?

A

terbutaline
mag sulfate
nifedipine
indomethacin

prolong pregnancy between 48 hours to 1 week

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10
Q

What is the purpose of antenatal corticosteroids?

A

fetal lung maturation

betamethasone or dexamethasone IM

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11
Q

If woman is in labor and no GBS screening info available antibiotics given for fever > __C

A

38

100.4

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12
Q

If woman is in labor and no GBS screening info available antibiotics given for membrane rupture at least __ hours prior

A

18

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13
Q

If woman is in labor and no GBS screening info available antibiotics given for gestation under __ weeks

A

37

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14
Q

What is drug of choice for GBS?

A

pen G or ampicillin

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15
Q

What antibiotic is given for GBS in women with penicillin allergy but no risk for anaphylaxis ?

A

cefazolin

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16
Q

What antibiotic is given for GBS in women with penicillin allergy and high risk for anaphylaxis/

A

clindamycin

erythromycin

17
Q

What antibiotic is given for GBS in women resistant to clindamycin or erythromycin?

A

vancomycin

18
Q

Most common indications for labor induction are postdates beyond __ weeks and pregnancy induced ___

A

42, Hypertension

19
Q

What are membrane stripping and dinoprostone used for?

A

cervical ripening

also misoprostol??

20
Q

What are misoprostol and oxytocin used for?

A

labor induction