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ADT Module 5-8 > Pregnancy > Flashcards

Flashcards in Pregnancy Deck (30)
1

___ ___ are the most common cause of infant mortality in the USA.

Birth defects

2

Environmental substances that cause birth defects are called ___. These include: drugs, meds, infections, chemicals.

teratogens

3

A ___ can cause abnormalities of structure or function, growth retardation, or fetal demise.

Teratogens

4

Teratogen medications to avoid during pregnancy include:

isotretinoin (Accutane), acitretin (Soriatane), thalidomide (Thalomid), lenalidomide (Revlimid)

5

Other drugs to avoid in pregnancy:

ACE inhibitors (enalapril or captopril), androgens and testosterone products, anticancer drugs, antifolic acid drugs, warfarin, carbamazepine, lithium, phenytoin, valproic acid, streptomycin, tetracyclines

6

Studies in pregnant women have not demonstrated a risk to the fetus in the first or later trimesters is known as category ___. This includes PNV and levothyroxine.

A

7

This fetal risk category has no evidence of risk in humans, but has shown risk in animal studies. This includes acetaminophen, cephalosporins, PCN's, NSAIDS, insulin, H2 blockers, metformin.

B

8

This fetal risk category can not be excluded. This includes: TMP/SMX, BB's, antidepressants.

C

9

This fetal risk category shows evidence of human fetal risk. This includes lithium, phenytoin, NSAIDS, paroxetine.

D

10

This fetal risk category shows that risks clearly outweighs any possible benefit (contraindicated). This includes: retinoids, warfarin, thalidomide, alcohol, cocaine, live vaccines

X

11

Things you can do to prevent birth defects: don't ___ or ___, take ___ ___, screen and tx ___, avoid kid ___, avoid cat ___, avoid ___, avoid poorly cooked ___, keep ___ current.

smoke, drink, folic acid, DM/GDM, spit, litter, rodents, meat, immunizations

12

Important to take prenatal ___ during pregnancy.

vitamin

13

___ ___ has a greater need during pregnancy and should be started ___ months prior to intended conception and continued throughout pregnancy.

folic acid, 3

14

Folic acid reduces the risk of ___ ___ defects.

neural tube

15

To avoid hyperemesis/n/v, eat ___, frequent meals, avoid ___, ___ root.

small, triggers, ginger

16

Meds used for mild nausea include:

pyridoxine (vitamin b-6), meclizine (Antivert), dimenhydrinate (Dramamine), doxylamine (OTC Unisom), H2 blockers (ranitidine), metoclopramide (Reglan)

17

Meds used for unrelieved nausea:

promethazine (Phenergan), prochlorperazine (Compazine), ondansetron (Zofran)

18

For pain relief in pregnancy, ___ is DOC. Avoid ___ and ___.

acetaminophen, ASA, NSAIDS

19

For cough/cold preparations, ___ is DOC in pregnancy.

chlorpheniramine

20

Avoid the herb ___ during pregnancy d/t safety concerns in the fetus.

echinacea

21

Beta-agonists (albuterol), ICS's (fluticasone), and combo MDI's (Advair) are all okay during ___.

pregnancy.

22

___ generation antihistamines such as diphenhydramine and ___ generation antihistamines like loratadine and cetirizine are okay to use during ___.

First, second, pregnancy

23

___ is the most common antidepressant class used in pregnancy. These include:

SSRI's, Prozac/fluoxetine, Zoloft/sertraline, Celexa/citalopram, Lexapro/excitalopram

24

Avoid the medications ___ and ___ for depressed pregnancy pts. Category ___.

paxil, wellbutrin, D

25

___ is the best medication to use for PP depression while breastfeeding.

Zoloft

26

Antibx to avoid in pregnancy include:

tetracyclines, streptomycin, and kanamycin

27

UTI in pregnancy if left untreated can lead to ___ and/or ___.

pyelonephritis, sepsis

28

Antibx DOC used to tx UTI in pregnancy include: ___. Others include ___ and ___. Avoid ___, esp during 3rd trimester b/c it is category ___.

nitrofurantoin, PCN, cephalosporin, bactrim, C

29

Malformation occurs d/t ___. Deformation occurs d/t ___. Disruption occurs in ___.

genetics, environment, utero

30

Okay to use same meds for asthma during pregnancy: beta-agonists ___, ICS ___, and combo MDI's ___.

albuterol, fluticasone, Advair