Teratogens Flashcards
It has the greatest effect on cells undergoing what kind of development? (cells are dividing the most) ex.brain
Rapid development
A substance that negatively affects normal fetal growth and development
Teratogen
Organogenesis occurs when?
Prior to 8 weeks (2-8 weeks)
What percentage of medications are linked to birth defects?
10%
What percentage of women use at least one medication?
60%
This medication presents as a risk for spontaneous abortion and congenital anomalies
Accutane
This medication presents as odotoxic (ears)
Mycins (gentamycin)
This medication increases risks of neural tube defects, cleft palate, IVGR (intrauterine growth restriction), and cognitive abnormalities
Anticonvulsants - valproic acid and carbamezapine
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.
Salycilates (NSAIDs)
This medication presents as a risk for yellow teeth and depresses skeleton growth of the fetus
Tetracycline (doxycycline)
This medication has an increased risk of birth defects, IUGR, fetal death (3x more like to have birth defects)
ACE inhibitors
This medication has a risk for spontaneous abortion, fetal demise, and newborn hemorrhage, CNS defects because it crosses the placenta barrier.
Warfarin (Coumadin)
All of these are contraindicated. Recommended to use inactivated injections.
Love virus vaccines
The FDA classification system has how many categories?
5 (ABCDX)
Adequate well controlled studies have failed to show fetal risk
Category A
Animal studies have failed to show fetal risk
Category B
Animal studies show fetal risk; benefits may warrant use
Category C
Evidence of human fetal risk; benefits may warrant use
Category D
Studies have shown fetal abnormalities
Category X
What is considered a safe amount of caffeine daily?
300mg
The usage of this drug causes decreased uterine blood flow, and decreased oxygen during pregnancy.
Smoking
This is type of smoking is also harmful.
Secondhand smoke
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?
Lack of oxygen
Chemicals
Vasoconstriction
The most common teratogen cause of mental retardation
Alcohol use and abuse