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What is the first question to consider D
when helping a breastfeeding mother
with a medication question?
A) What is the relative infant dose of
the medication?
B) What is the protein binding of the
medication?
C) What is the molecular weight of the
medication?
D) Is the medication really necessary
to take now?
,Which drug property results in more C
transfer of the drug into the mother's
milk?
A) Molecular weight >800 Daltons
B) High protein binding
C) High lipid solubility
D) Low maternal plasma concentration
When it comes to medications and B
breastfeeding, drugs with a shorter
half-life are preferred. How many half-
lives until it is generally considered
that the drug is eliminated from the
system?
A) 3
B) 5
C) 7
D) 9
If a woman is given 80 mg of a drug to C
treat a urinary tract infection - and the
drug has a half-life of 3 hours - how
much will be left in her system after 3
half-lives?
A) 40 mg
B) 20 mg
C) 10 mg
D) 5 mg
What is considered a high enough D
molecular weight that the medication
will be too big to easily get into the
breast milk compartment?
A) 200 Daltons
B) 300 Daltons
C) 400 Daltons
D) More than 800 Daltons
,Drugs can be highly bound to albumin, D
a large protein in the blood circulation,
and therefore too big to get into the
breast milk space. What percentage of
protein binding is considered high and
therefore preferred?
A) 40%
B) 60%
C) 80%
D) >90%
While most drugs are compatible with C
breastfeeding, a few are not. Which
type of drug is usually contraindicated
for breastfeeding?
A) Antibiotic
B) Antidepressant
C) Chemotherapy
D) Diabetic therapy
A Relative Infant Dose (RID) of _____ A) <10%
indicates compatibility with
breastfeeding.
A) <10%
B) >10%
A good resource to use to figure out if D) LactMed
a medicine is compatible with
breastfeeding is:
A) The Physician Desk Reference (PDR)
B) The medicine package insert
C) Google
D) LactMed
, In Hale's Medications and Mothers' A
Milk, which lactation risk category is
the safest?
A) L1
B) L2
C) L4
D) L5
In Hale's Medications and Mothers' B
Milk, what lactation risk category does
a medication go into if there is
absolutely no published data about
the medication, even if it is considered
safe?
A) L2
B) L3
C) L4
D) L5
In which lactation risk category in D) L5
Medications and Mothers' Milk is this
the recommendation: "The drug is
contraindicated in women who are
breastfeeding an infant."
A) L2
B) L3
C) L4
D) L5