NURSG 5432-400 MODULE 3 QUESTIONS 2025
What can medications be taken for during pregnancy? - Answers :N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition &
dosing? - Answers :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? - Answers :Osteoporosis
What are the adverse effects of prostaglandins during pregnancy? - Answers :Stimulate
uterine contractions
What are adverse effects of pain relievers during delivery? - Answers :Depress
respiration in neonates
What birth defects can be caused by teratogenic medications? - Answers :Gross
malformations:
Cleft palate, clubfoot, & hydrocephalus
Neurobehavior & metabolic anomalies
Congenital anomalies <1%
What is the most critical time during pregnancy to avoid medications? - Answers
:Embryonic period: Weeks 3-8 is when gross malformations produced by teratogens
What are the 3 stages of development? - Answers :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? - Answers :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? - Answers :Viruses that
are killed or inactivated:
Influenza
,TDaP (protects infant from pertussis); given w/ q pregnancy
Which immunizations are contraindicated during pregnancy? - Answers :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? - Answers :Between 27-36 weeks;
optimizing duration of antibody protection until after birth
Which vaccines can be given under special conditions? - Answers :HepB
Inactivated polio
HepA
Yellow fever
What is included in the Women's health assessment? - Answers :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? - Answers :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? - Answers
:Amenorrhea
N/V
, Fatigue
Breast tenderness (first sign)
Urinary frequency
What symptoms occur during second trimester (13-27 weeks)? - Answers :Fetal
movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
Syncopal episodes
What symptoms occur during third trimester (28-40 weeks)? - Answers :Abdominal
growth
Braxton-Hicks
Return of urinary frequency w/descent of presenting part
Increased respiratory effort until descent
What is expected during the first trimester PE? - Answers :Softening of cervix (Goodell's
sign)
Cervical cyanosis (Chadwick's Sign)
Softening of cervicouterine junction (Hegar's sign)
Breast enlargement
Fetal heart tones by 10-12 weeks
What is expected during the second trimester PE? - Answers :Striae
Fundus palpable at umbilicus @ 20 wks; grows 1 cm/wk
Leopold maneuvers after 20 wks
What is expected during the third trimester PE? - Answers :Lightening 3-4 wks prior to
delivery
Loss of mucus plug
Increase Braxton-Hicks
Contractions/rupture of membranes
What diagnostics are done first trimester? - Answers :Pregnancy test
CBC
UA
U-Preg
Blood type, Rh, antibody screen
Rubella titer
Syphilis
Chlamydia
HIV
Hep B
Sickle cell
TB Skin test
Hep C & gonorrhea
What can medications be taken for during pregnancy? - Answers :N/V
Constipation
Preeclampsia
Chronic Disorders
Infectious Diseases/ CA
Drug abuse
What are the physiologic changes during pregnancy & impact on drug disposition &
dosing? - Answers :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? - Answers :Osteoporosis
What are the adverse effects of prostaglandins during pregnancy? - Answers :Stimulate
uterine contractions
What are adverse effects of pain relievers during delivery? - Answers :Depress
respiration in neonates
What birth defects can be caused by teratogenic medications? - Answers :Gross
malformations:
Cleft palate, clubfoot, & hydrocephalus
Neurobehavior & metabolic anomalies
Congenital anomalies <1%
What is the most critical time during pregnancy to avoid medications? - Answers
:Embryonic period: Weeks 3-8 is when gross malformations produced by teratogens
What are the 3 stages of development? - Answers :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? - Answers :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? - Answers :Viruses that
are killed or inactivated:
Influenza
,TDaP (protects infant from pertussis); given w/ q pregnancy
Which immunizations are contraindicated during pregnancy? - Answers :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? - Answers :Between 27-36 weeks;
optimizing duration of antibody protection until after birth
Which vaccines can be given under special conditions? - Answers :HepB
Inactivated polio
HepA
Yellow fever
What is included in the Women's health assessment? - Answers :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? - Answers :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? - Answers
:Amenorrhea
N/V
, Fatigue
Breast tenderness (first sign)
Urinary frequency
What symptoms occur during second trimester (13-27 weeks)? - Answers :Fetal
movement
Abdominal discomfort (round ligament pain)
Cholasma (brown or gray-brown patches on face)
Syncopal episodes
What symptoms occur during third trimester (28-40 weeks)? - Answers :Abdominal
growth
Braxton-Hicks
Return of urinary frequency w/descent of presenting part
Increased respiratory effort until descent
What is expected during the first trimester PE? - Answers :Softening of cervix (Goodell's
sign)
Cervical cyanosis (Chadwick's Sign)
Softening of cervicouterine junction (Hegar's sign)
Breast enlargement
Fetal heart tones by 10-12 weeks
What is expected during the second trimester PE? - Answers :Striae
Fundus palpable at umbilicus @ 20 wks; grows 1 cm/wk
Leopold maneuvers after 20 wks
What is expected during the third trimester PE? - Answers :Lightening 3-4 wks prior to
delivery
Loss of mucus plug
Increase Braxton-Hicks
Contractions/rupture of membranes
What diagnostics are done first trimester? - Answers :Pregnancy test
CBC
UA
U-Preg
Blood type, Rh, antibody screen
Rubella titer
Syphilis
Chlamydia
HIV
Hep B
Sickle cell
TB Skin test
Hep C & gonorrhea
