Teratogens Flashcards

0
Q

It has the greatest effect on cells undergoing what kind of development? (cells are dividing the most) ex.brain

A

Rapid development

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1
Q

A substance that negatively affects normal fetal growth and development

A

Teratogen

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2
Q

Organogenesis occurs when?

A

Prior to 8 weeks (2-8 weeks)

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3
Q

What percentage of medications are linked to birth defects?

A

10%

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4
Q

What percentage of women use at least one medication?

A

60%

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5
Q

This medication presents as a risk for spontaneous abortion and congenital anomalies

A

Accutane

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6
Q

This medication presents as odotoxic (ears)

A

Mycins (gentamycin)

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7
Q

This medication increases risks of neural tube defects, cleft palate, IVGR (intrauterine growth restriction), and cognitive abnormalities

A

Anticonvulsants - valproic acid and carbamezapine

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8
Q

This medication can prolong labor or inhibit labor; inhibits prostaglandin synthesis which can cause premature ductus arteriosis constriction (valve that allows fetal circulation). Do not use late in pregnancy and after 28 weeks do not use AT ALL.

A

Salycilates (NSAIDs)

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9
Q

This medication presents as a risk for yellow teeth and depresses skeleton growth of the fetus

A

Tetracycline (doxycycline)

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10
Q

This medication has an increased risk of birth defects, IUGR, fetal death (3x more like to have birth defects)

A

ACE inhibitors

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11
Q

This medication has a risk for spontaneous abortion, fetal demise, and newborn hemorrhage, CNS defects because it crosses the placenta barrier.

A

Warfarin (Coumadin)

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12
Q

All of these are contraindicated. Recommended to use inactivated injections.

A

Love virus vaccines

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13
Q

The FDA classification system has how many categories?

A

5 (ABCDX)

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14
Q

Adequate well controlled studies have failed to show fetal risk

A

Category A

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15
Q

Animal studies have failed to show fetal risk

A

Category B

16
Q

Animal studies show fetal risk; benefits may warrant use

A

Category C

17
Q

Evidence of human fetal risk; benefits may warrant use

A

Category D

18
Q

Studies have shown fetal abnormalities

A

Category X

19
Q

What is considered a safe amount of caffeine daily?

A

300mg

20
Q

The usage of this drug causes decreased uterine blood flow, and decreased oxygen during pregnancy.

A

Smoking

21
Q

This is type of smoking is also harmful.

A

Secondhand smoke

22
Q

The risks associated with smoking cause low birth weight and IUGR, preterm delivery, fetal death, SIDS, asthma, childhood cancer, learning disabilities, infant ear and respiratory infections due to what?

A

Lack of oxygen
Chemicals
Vasoconstriction

23
Q

The most common teratogen cause of mental retardation

A

Alcohol use and abuse

24
Q

Alcohol passes to the fetus via the placenta within

A

Seconds

25
Q

The risk for FAS are higher in what ethnic groups?

A

Alaskans, American Indians, and African Americans

26
Q

All categories of prenatal alcohol exposure are termed:

A

Fetal alcohol syndrome disorder