PREGNANCY & LACTATION – RxPrep
Exam 2025 Questions and Answers
Pregnancy Test - ANS human chorionic gonadotropin (hCG+)
Pregnancy Categories - ANS A- Safe (No Risk)
B- Problems in Animals, Not Humans (Animal Studies--> Not Fetal Risk)
C- Caution, if benefits outweigh the risks you can use it (Animal Studies--> Harm to Fetal)
D- Positive evidence of risk to the human fetus (Benefits may outweigh the risk.)
X- NEVER (CI).
Morning Sickness,
Nausea, Vomiting Tx - ANS 1. Lifestyle first
2. If lifestyle measures fail, ACOG recommends pyridoxine vitamin B6) +/- doxylamine first line.
Rx: doxylamine/pyridoxine (Bonjesta, Diclegis).
Ginger is rated "possibly effective" for treating morning sickness.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, GERD/Heartburn Tx - ANS Lifestyle first: eat smaller, more frequent meals, avoid foods that
worsen GERD. If symptoms occur while sleeping. recommend elevating the head of the bed and
not eating 3 hours prior to sleep.
If lifestyle measures fail, recommend antacids. Calcium
antacids, such as calcium carbonate (Tums), are a good
choice since calcium intake is often deficient.
If heartburn symptoms are not relieved by Tums,
H2 receptor antagonists or PPls can be considered for
add-on therapy.
Flatulence Tx - ANS Simethicone (Gas-X, Mylicon)
Constipation - ANS Lifestyle first: increase fluid intake, increase dietary fiber intake and
increase physical activity.
If lifestyle measures fail, fiber (psyllium, calcium
polycarbophil, methylcellulose), with adequate amounts of
fluids, is preferred.
Docusate and polyethylene glycol are used to prevent and
treat constipation.
Cough, Cold, Allergies - ANS First line: cromolyn.
Second line: first-generation antihistamines.
Chlorpheniramine (drug of choice) and diphenhydramine are
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Exam 2025 Questions and Answers
Pregnancy Test - ANS human chorionic gonadotropin (hCG+)
Pregnancy Categories - ANS A- Safe (No Risk)
B- Problems in Animals, Not Humans (Animal Studies--> Not Fetal Risk)
C- Caution, if benefits outweigh the risks you can use it (Animal Studies--> Harm to Fetal)
D- Positive evidence of risk to the human fetus (Benefits may outweigh the risk.)
X- NEVER (CI).
Morning Sickness,
Nausea, Vomiting Tx - ANS 1. Lifestyle first
2. If lifestyle measures fail, ACOG recommends pyridoxine vitamin B6) +/- doxylamine first line.
Rx: doxylamine/pyridoxine (Bonjesta, Diclegis).
Ginger is rated "possibly effective" for treating morning sickness.
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, GERD/Heartburn Tx - ANS Lifestyle first: eat smaller, more frequent meals, avoid foods that
worsen GERD. If symptoms occur while sleeping. recommend elevating the head of the bed and
not eating 3 hours prior to sleep.
If lifestyle measures fail, recommend antacids. Calcium
antacids, such as calcium carbonate (Tums), are a good
choice since calcium intake is often deficient.
If heartburn symptoms are not relieved by Tums,
H2 receptor antagonists or PPls can be considered for
add-on therapy.
Flatulence Tx - ANS Simethicone (Gas-X, Mylicon)
Constipation - ANS Lifestyle first: increase fluid intake, increase dietary fiber intake and
increase physical activity.
If lifestyle measures fail, fiber (psyllium, calcium
polycarbophil, methylcellulose), with adequate amounts of
fluids, is preferred.
Docusate and polyethylene glycol are used to prevent and
treat constipation.
Cough, Cold, Allergies - ANS First line: cromolyn.
Second line: first-generation antihistamines.
Chlorpheniramine (drug of choice) and diphenhydramine are
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
