RxPrep Pregnancy and Lactation. Exam
2025 Questions and Answers
What is gravida and para - ANS G - number of times a person has been pregnant
P - number of times a patient has given birth
e.g. G2,P1
supplementation before/during pregnancy - ANS folate (deficiency causes neural tube
defects)
--folic acid (B9) 400 mcg DFE daily, then 600 mcg DFE during pregnancy
calcium and vit D (skeleton dev)
--calcium 1000 mg/day
--vit D 15 mcg/day (600 IU/day)
most prenatal vitamins have low amounts of calcium and vit D (b/c too bulky), need to take
extra
old pregnancy categories - ANS ABCDX
too simplistic
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, new pregnancy categories - ANS deadline for new labeling was June 2020, but still not all
complete
drugs approved before 2001 are exempt
8.1 - pregnancy
8.2 - lactation
8.3 - females and males of reproductive potential
summaries are included, more detailed (e.g. are metabolites present in breast milk, what risks
are present in fetus, effects on fertility, etc)
vaccines recommended for pregnant women - ANS inactivated influenza vaccine (any
trimester)
Tdap (during EACH pregnancy)
live vaccines are CI
teratogens - ANS isotretinoin/retinoids
quinolones/tetracyclines/AGs/azoles
warfarin
statins
ACE/ARB/aliskiren/Entresto
most hormones (e.g. raloxifene, estradiol, test)
dihydroergotamine/ergotamine
hydroxyurea
lithium
methotrexate
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
2025 Questions and Answers
What is gravida and para - ANS G - number of times a person has been pregnant
P - number of times a patient has given birth
e.g. G2,P1
supplementation before/during pregnancy - ANS folate (deficiency causes neural tube
defects)
--folic acid (B9) 400 mcg DFE daily, then 600 mcg DFE during pregnancy
calcium and vit D (skeleton dev)
--calcium 1000 mg/day
--vit D 15 mcg/day (600 IU/day)
most prenatal vitamins have low amounts of calcium and vit D (b/c too bulky), need to take
extra
old pregnancy categories - ANS ABCDX
too simplistic
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, new pregnancy categories - ANS deadline for new labeling was June 2020, but still not all
complete
drugs approved before 2001 are exempt
8.1 - pregnancy
8.2 - lactation
8.3 - females and males of reproductive potential
summaries are included, more detailed (e.g. are metabolites present in breast milk, what risks
are present in fetus, effects on fertility, etc)
vaccines recommended for pregnant women - ANS inactivated influenza vaccine (any
trimester)
Tdap (during EACH pregnancy)
live vaccines are CI
teratogens - ANS isotretinoin/retinoids
quinolones/tetracyclines/AGs/azoles
warfarin
statins
ACE/ARB/aliskiren/Entresto
most hormones (e.g. raloxifene, estradiol, test)
dihydroergotamine/ergotamine
hydroxyurea
lithium
methotrexate
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
