NURS 676 UNIT III CH. 8-10 QUESTIONS|\ |\ |\ |\ |\ |\ |\
WITH ANSWERS |\
CHANGES THAT HAPPEN DURING PREGNANCY - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔CHANGES IN THE KIDNEY, LIVER, GI TRACT
|\ |\ |\ |\ |\ |\ |\
WHAT HAPPENS TO THE KIDNEYS DURING THE THIRD
|\ |\ |\ |\ |\ |\ |\ |\
TRIMESTER? - CORRECT ANSWERS ✔✔RENAL BLOOD FLOW IS |\ |\ |\ |\ |\ |\ |\ |\
DOUBLED CAUSING LARGE INCREASE IN GLOMERULAR
|\ |\ |\ |\ |\ |\
FILTRATION RATE--> ACCELERATED CLEARANCE OF DRUGS ARE
|\ |\ |\ |\ |\ |\ |\
ELIMINATED BY GLOMERULAR FILTRATION |\ |\ |\
WHAT HAPPENS TO THE LIVER DURING THE 3RD TRIMESTER? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔HEPATIC METABOLISM INCREASES
|\ |\ |\ |\ |\
DURING PREGNANCY FOR SOME DRUGS
|\ |\ |\ |\ |\
EX: ANTI-SEIZURE MEDS, PHENYTOIN, AND VALPORIC ACID
|\ |\ |\ |\ |\ |\
WHAT HAPPENS TO THE GI TRACT DURING THE 3RD TRIMESTER?
|\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔TONE AND MOTILITY OF THE BOWEL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
DECREASES IN PREGNANCY CASING INTESTINAL TRANSMIT TIME |\ |\ |\ |\ |\ |\ |\
TO INCREASE |\ |\
IT TAKES MORE TIME FOR DRUGS TO BE ABSORBED
|\ |\ |\ |\ |\ |\ |\ |\
PLACENTAL DRUG TRANSFER - CORRECT ANSWERS ✔✔THE |\ |\ |\ |\ |\ |\ |\
PROVIDER SHOULD ASSUME THAT ANY DRUG TAKEN DURING
|\ |\ |\ |\ |\ |\ |\ |\
PREGNANCY WILL REACH THE FETUS |\ |\ |\ |\
, STAGES OF FETAL DEVELOPMENT - CORRECT ANSWERS ✔✔STAGE
|\ |\ |\ |\ |\ |\ |\
1: PREIMPLANATION/PRESOMITE PERIOD (CONCEPTION- WK 2)
|\ |\ |\ |\ |\ |\
STAGE 2: EMBRYONIC PERIOD (WK 3-8)
|\ |\ |\ |\ |\ |\
STAGE 3: FETAL PERIOD (WK 9-TERM)
|\ |\ |\ |\ |\
GROSS MALFORMATION CAN OCCUR IN WHAT STAGE - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ARE PRODUCED BY EXPOSURE TO TERATOGENS
|\ |\ |\ |\ |\ |\ |\
DURING THE EMBRYONIC PERIOD (1ST TRIMESTER)
|\ |\ |\ |\ |\
TERATOGEN EXPOSURE DURING THE FETAL PERIOD WILL |\ |\ |\ |\ |\ |\ |\
DISRUPT - CORRECT ANSWERS ✔✔FUNCTION RATHER THAN
|\ |\ |\ |\ |\ |\ |\
GROSS ANATOMY |\
THREE CRITERIA FOR A DRUG TO BE A TERATOGEN - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. MUST CAUSE A CHARACTERISTIC SET OF
|\ |\ |\ |\ |\ |\ |\ |\
MALFORMATIONS
2. MUST ACT ONLY DURING A SPECIFIC WINDOW OF
|\ |\ |\ |\ |\ |\ |\ |\ |\
VULNERABILITY
3. INCIDENCE OF MALFORMATIONS SHOULD INCREASE WITH
|\ |\ |\ |\ |\ |\ |\
INCREASING DOSAGE AND DURATION OF EXPOSURE |\ |\ |\ |\ |\
WHEN BREASTFEEDING, WOMEN SHOULD AVOID - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔DOSING IMMEDIATELY AFTER BREASTFEEDING TO
|\ |\ |\ |\ |\ |\
MINIMIZE DRUG CONCENTRATIONS |\ |\
AVOID DRUGS THAT HAVE A LONG HALF LIFE
|\ |\ |\ |\ |\ |\ |\
AVOID SUSTAINED RELEASE FORMULATION
|\ |\ |\
CHOOSING DRUGS THAT TEND TO BE EXCLUDED FROM MILK
|\ |\ |\ |\ |\ |\ |\ |\ |\
WITH ANSWERS |\
CHANGES THAT HAPPEN DURING PREGNANCY - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔CHANGES IN THE KIDNEY, LIVER, GI TRACT
|\ |\ |\ |\ |\ |\ |\
WHAT HAPPENS TO THE KIDNEYS DURING THE THIRD
|\ |\ |\ |\ |\ |\ |\ |\
TRIMESTER? - CORRECT ANSWERS ✔✔RENAL BLOOD FLOW IS |\ |\ |\ |\ |\ |\ |\ |\
DOUBLED CAUSING LARGE INCREASE IN GLOMERULAR
|\ |\ |\ |\ |\ |\
FILTRATION RATE--> ACCELERATED CLEARANCE OF DRUGS ARE
|\ |\ |\ |\ |\ |\ |\
ELIMINATED BY GLOMERULAR FILTRATION |\ |\ |\
WHAT HAPPENS TO THE LIVER DURING THE 3RD TRIMESTER? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔HEPATIC METABOLISM INCREASES
|\ |\ |\ |\ |\
DURING PREGNANCY FOR SOME DRUGS
|\ |\ |\ |\ |\
EX: ANTI-SEIZURE MEDS, PHENYTOIN, AND VALPORIC ACID
|\ |\ |\ |\ |\ |\
WHAT HAPPENS TO THE GI TRACT DURING THE 3RD TRIMESTER?
|\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔TONE AND MOTILITY OF THE BOWEL
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
DECREASES IN PREGNANCY CASING INTESTINAL TRANSMIT TIME |\ |\ |\ |\ |\ |\ |\
TO INCREASE |\ |\
IT TAKES MORE TIME FOR DRUGS TO BE ABSORBED
|\ |\ |\ |\ |\ |\ |\ |\
PLACENTAL DRUG TRANSFER - CORRECT ANSWERS ✔✔THE |\ |\ |\ |\ |\ |\ |\
PROVIDER SHOULD ASSUME THAT ANY DRUG TAKEN DURING
|\ |\ |\ |\ |\ |\ |\ |\
PREGNANCY WILL REACH THE FETUS |\ |\ |\ |\
, STAGES OF FETAL DEVELOPMENT - CORRECT ANSWERS ✔✔STAGE
|\ |\ |\ |\ |\ |\ |\
1: PREIMPLANATION/PRESOMITE PERIOD (CONCEPTION- WK 2)
|\ |\ |\ |\ |\ |\
STAGE 2: EMBRYONIC PERIOD (WK 3-8)
|\ |\ |\ |\ |\ |\
STAGE 3: FETAL PERIOD (WK 9-TERM)
|\ |\ |\ |\ |\
GROSS MALFORMATION CAN OCCUR IN WHAT STAGE - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔ARE PRODUCED BY EXPOSURE TO TERATOGENS
|\ |\ |\ |\ |\ |\ |\
DURING THE EMBRYONIC PERIOD (1ST TRIMESTER)
|\ |\ |\ |\ |\
TERATOGEN EXPOSURE DURING THE FETAL PERIOD WILL |\ |\ |\ |\ |\ |\ |\
DISRUPT - CORRECT ANSWERS ✔✔FUNCTION RATHER THAN
|\ |\ |\ |\ |\ |\ |\
GROSS ANATOMY |\
THREE CRITERIA FOR A DRUG TO BE A TERATOGEN - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. MUST CAUSE A CHARACTERISTIC SET OF
|\ |\ |\ |\ |\ |\ |\ |\
MALFORMATIONS
2. MUST ACT ONLY DURING A SPECIFIC WINDOW OF
|\ |\ |\ |\ |\ |\ |\ |\ |\
VULNERABILITY
3. INCIDENCE OF MALFORMATIONS SHOULD INCREASE WITH
|\ |\ |\ |\ |\ |\ |\
INCREASING DOSAGE AND DURATION OF EXPOSURE |\ |\ |\ |\ |\
WHEN BREASTFEEDING, WOMEN SHOULD AVOID - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔DOSING IMMEDIATELY AFTER BREASTFEEDING TO
|\ |\ |\ |\ |\ |\
MINIMIZE DRUG CONCENTRATIONS |\ |\
AVOID DRUGS THAT HAVE A LONG HALF LIFE
|\ |\ |\ |\ |\ |\ |\
AVOID SUSTAINED RELEASE FORMULATION
|\ |\ |\
CHOOSING DRUGS THAT TEND TO BE EXCLUDED FROM MILK
|\ |\ |\ |\ |\ |\ |\ |\ |\