Prescribing in Pregnancy

Question 1

Describe how folic acid should be prescribed prior to pregnancy in an otherwise healthy women trying for a baby

Answer 1

Folic acid 400mcg from 3 months prior and the first 3 months of pregnancy

Question 2

What is the period in the pregnancy when there is the greatest teratogenic risk?

Answer 2

4th - 11th week

Question 3

Which two antiepileptics should be avoided in pregnancy?

Answer 3

Sodium valporate Phenytoin

Question 4

What three antihypertensives are safe in pregnancy?

Answer 4

Labetalol
Methyldopa
Nifedipine

Question 5

Which is the safest drug to use for nausea and vomiting in pregnancy?

Answer 5

Cyclizine

Question 6

A women has a UTI is the 1st trimester of pregnancy. What drug should be used?

Answer 6

Nitrofurantoin

Question 7

A women has a UTI is the 2nd trimester of pregnancy. What drug should be used?

Answer 7

Nitrfurantoin

Question 8

A women has a UTI is the 3rd trimester of pregnancy. What drug should be used?

Answer 8

Trimethoprim

Question 9

What is the treatment for pyelonephritis is pregnancy?

Answer 9

Co amoxiclav

Question 10

In the UK what is the leading cause of maternal death?

Answer 10

Venous thrombo embolism

Question 11

What drug should pregnant women be treated with if they have a high risk of a veous thrombo embolism?

Answer 11

LMWH

Question 12

Which drug suppresses lactation?

Answer 12

Bromocriptine

Question 13

Which drug can cause neonatal hypothyroidism if taken in pregnancy?

Answer 13

Amiodarone