Pregnancy & Breastfeeding

Question 1

When should you avoid elective care in pregnant women?

Answer 1

1st trimester

Question 2

When is the best time to perform elective care in pregnant women?

Answer 2

2nd trimester and early 3rd is best

Question 3

T/F. Emergency care should only be given during the 2nd trimester of pregnancy.

Answer 3

False, emergency care is OK anytime in coordination with OB

Question 4

What should be done to avoid causing supine hypotensive syndrome in pregnant women?

Answer 4

semi-reclined
short appointments
allow patient to change positions frequently

Question 5

How about radiographs?

Answer 5

high-speed film/digital imaging, filtration, collimation, lead aprons, thyroid collars

Selective use as necessary

NOT in the 1st trimester

Question 6

What category does most dental drugs fall under in the FDA pregnancy risk category?

Answer 6

C

Question 7

What type of local anesthetic should be used on pregnant women?

Answer 7

2% lidocaine w/1:100,000 epi

do not exceed manufacturer’s max dose

Question 8

T/F. All of the following antibiotics are safe to use in pregnant women: PCN, clindamycin, metronidazole and tetracycline.

Answer 8

False, tetracycline should be avoided

Question 9

T/F. It is OK to prescribe a pregnant women NSAIDs and narcotics.

Answer 9

False, NO NSAIDs (ibuprofen or aspirin) and consult for narcotics.

Patients should be given acetaminophen

Question 10

T/F. Sedatives should not be used on pregnant women.

Answer 10

True.

Possible short exposure to N2O-O2.

Question 11

According to the American Academy of Pediatrics, “Most drugs likely to be prescribed to the nursing mother should have NO effect on milk supply or on infant well being.”

Answer 11

True.

Question 12

How much drug is excreted in milk?

Answer 12

~1-2% of the maternal dose