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Phar 461 > Pregnancy Wellness > Flashcards

Pregnancy Wellness Flashcards

1
Q

When does organogenesis occur during pregnancy?

A

56 days from fertilization or the first 10 weeks

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2
Q

When is neurotube defect most likely to form?

A

First 8 weeks

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3
Q

When does nausea and vomiting most commonly occur?

A

6-16 weeks

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4
Q

How often does hyperemesis gravidarum occur in pregnant women?

A

1%

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5
Q

Which medications can be used for breakthrough control of N & V?

A

dimenhydrinate, pyridoxine, ginger root

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6
Q

Which medication used in N&V can increase uterine activity?

A

Dimenhydrinate - caution use in late pregnancy

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7
Q

What other prescription medications are used for N & V?

A

Chlorpromazine, metoclopramide, ondansetron

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8
Q

What N&V product cannot be used in pregnancy?

A

Scopolamine

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9
Q

What are the symptoms of pregnancy itch?

A

itching that’s worse at night, dark urine, yellow eyes/skin, light coloured feces

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10
Q

What are the risk factors of pregnancy itch?

A

Pregnant with twins, pregnant via IVF, previous history, family history, history of liver problems

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11
Q

What is the treatment for pregnancy itch?

A

Ursodeoxycholic acid (Rx) - fewer pre-term births or topical OTC corticosteroid cream

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12
Q

Striae Gravidarum risk factors

A

young maternal age, high infant birthweight, excessive maternal weight gain, family history

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13
Q

T or F. Acetaminophen is completely safe in pregnancy.

A

False. Caution in patients with pre-eclampsia, there is a increased risk of pre-term birth.

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14
Q

Drug of choice in heart burn?

A

Calcium carbonate. Tums

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15
Q

What is the recommended daily intake of caffeine?

A

300mg/d = 2 cups

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16
Q

Too much caffeine can be harmful to the fetus. T or F.

A

False. No evidence to support that claim

17
Q

Which pregnancy supplement’s zinc content is below the RDI?

A

Materna at 7.5mg (RDI is 15mg)

18
Q

Which supplement contains no vitamin A?

A

PregVit Folic 5

19
Q

What are the risk factors for neurotube defect?

A

Previous child with NTD, Relative with NTD, Maternal diabetes or T1DM, Folic acid antagonist (methotrexate), Epilepsy with valporic acid of carbamazepine for seizure control

20
Q

Which patients will require 5mg folic acid supplementation instead of 1mg?

A

Patients with epilepsy, T1DM, BMI >35, family history of NTD, Sikh ethnicity, poor medication adherence, poor diet, inconsistent birth control, alcohol or substance abuse, smoking

21
Q

What is the regimen for folic acid supplementation in a normal patient?

A

0.4mg-1.0mg/day starting at least 2 months before conception and continuing until finished breastfeeding

22
Q

What is the regimen for folic acid supplementation in patients requiring 5mg?

A

5mg/d starting at least 3 months before conception and continue for 10-12 weeks post-conception, then switch to 1.0mg/day until finished breast feeding

23
Q

Name some sources of folic acid in the diet

A

spinach, chickpeas, broccoli, asparagus, fortified grains, lentils, peas, brussel sprouts, oranges

24
Q

Vitamin A supplementation is recommended in which patients?

A

In areas of endemic vitamin A deficiency and HIV+ women

25
Q

What is the recommended dose of vitamin A? Does materna or PregVit meet this recommendation?

A

5000-10,000 IU/d - Materna contains only 1000IU while PregVit contains none

26
Q

How does calcium benefit pregnancy?

A

Reduces risk of HTN, risk of eclampsia, reduces overall composite outcome

27
Q

Which vitamin or mineral is associated with increasing the risk of HELLP syndrome?

A

Calcium

28
Q

What is suggested intake of iron?

A

27mg from diet

29
Q

Who can benefit from zinc supplementation?

A

Women with low income - reduced risk of pre-term birth when supplemented with 15mg of zinc

30
Q

What is the recommended calcium intake for pregnant women ages 14-18?

A

1300mg

31
Q

What is the recommended calcium intake for pregnant women ages 19-50?

A

1000mg

32
Q

What is the recommended vitamin D intake for pregnant women?

A

600IU

Phar 461 (5 decks)

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