AND ANSWERS VERIFIED BY EXPERT |
GRADED A+ | NEW UPDATE 2025
What can medications be taken for during pregnancy? - ANSWER N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition
& dosing? - ANSWER In third trimester:
Renal blood flow is doubled; renal excretion is accelerated
Tone & mobility of bowel decreases which prolongs drug effects
What are some adverse effects of heparin during pregnancy? - ANSWER
Osteoporosis
What are the adverse effects of prostaglandins during pregnancy? - ANSWER
Stimulate uterine contractions
What are adverse effects of pain relievers during delivery? - ANSWER Depress
respiration in neonates
,What birth defects can be caused by teratogenic medications? - ANSWER Gross
malformations:
Cleft palate, clubfoot, & hydrocephalus
Neurobehavior & metabolic anomalies
Congenital anomalies <1%
What is the most critical time during pregnancy to avoid medications? -
ANSWER Embryonic period: Weeks 3-8 is when gross malformations produced
by teratogens
What are the 3 stages of development? - ANSWER Conception through week 2
Embryonic period: Week 3-8 when gross malformations can be produced (organ
development)
Fetal period: Week 9-delivery when functions are disrupted
What is the PLLR? - ANSWER Pregnancy & lactation labeling rule provides the
prescriber w/ relevant information for critical decision-making when treating
pregnant or lactating women
What immunizations can be administered during pregnancy? - ANSWER
Viruses that are killed or inactivated:
Influenza
TDaP (protects infant from pertussis); given w/ q pregnancy
,Which immunizations are contraindicated during pregnancy? - ANSWER Live
attenuated vaccines; should avoid trying to get pregnant 28 d after vaccine:
Nasal spray influenza
MMR
Varicella
HPV
Pneumococcal polysaccharide (PPSV23)
Pneumococcal conjugate (PCV13)
Meningococcal conjugate (MenACW)
Meningococcal polysaccharide (MPSV4)
Smallpox
When is the TDaP administered during pregnancy? - ANSWER Between 27-36
weeks; optimizing duration of antibody protection until after birth
Which vaccines can be given under special conditions? - ANSWER HepB
Inactivated polio
HepA
Yellow fever
What is included in the Women's health assessment? - ANSWER Complete PX
Past medical Hx
GYN Sx
OB Hx: menstrual, contraceptive, sexual, reproductive & complications
, Nutrition
Cultural Hx
Support system
Risk Factors
Complete Genetic Hx
Immunizations
Diagnostics
What is preventive care during pregnancy? - ANSWER Nutrition: Maintain avg
body wt for ht
Folic acid (0.4mg/d)
Exercise
Smoking Cessation
What symptoms occur during first trimester (up to 12 weeks) of pregnancy? -
ANSWER Amenorrhea
N/V
Fatigue
Breast tenderness (first sign)
Urinary frequency