Pregnancy

Question 1

Pregnancy testing positive when?

Answer 1

Urine - positive after 2 weeks

Serum - 9 days

Question 2

Pregnancy trimesters

Answer 2

FIrst trimesters - until 14wk
2nd - 28 wk
3rd - delivery

Question 3

Which position bad for pregnancy?

Answer 3

Supine b/c compression of IVC - supine htn

Question 4

Which position good for pregnancy?

Answer 4

Semi-reclining position, frequent position changes, tilt pt to left

Question 5

Ideal weight gain for non-obese pregnant pt?

Answer 5

25-35 lb, mostly maternal reserve and fetus

Question 6

CV changes in pregnancy?

Answer 6

Plasma volume and cardiac output increased

Peripheral resistance and BP decreased

Question 7

Respiratory changes?

Answer 7

increased minute ventilation, tidal volume

Question 8

Reclining position can impair what in 3rd trimester

Answer 8

respiratory function

Question 9

GI changes in pregnancy

Answer 9

gums hyperemic
decreased motility of GI tract
relaxed esophageal sphincter - GERD, risk of aspiration
Nausea/vomiting

Question 10

When do pregnant patients get most nausea?

Answer 10

1st trimester

Question 11

Advise patients to do what regarding vomiting?

Answer 11

1 tsp baking soda in water, after vomiting

don’t brush

Question 12

Pregnancy gingivitis how common?

Answer 12

50-70%

Question 13

Pregnancy gingivitis signs?

Answer 13

hormones cause hypertrophy of gums

inflammation and bleeding

Question 14

Why does pregnancy gingivitis occur?

Answer 14

hormonal change causes shift in bacterial flora

Question 15

Pregnancy tumor aka?

Answer 15

pyogenic granuloma

lobular capillary hemangioma

Question 16

pregnancy tumor occurence rate? where?

Answer 16

10% women

inflamed gums in interproximal areas of max gingiva

Question 17

Pregnancy tumor treatment?

Answer 17

most resolve, but if not then surgery

Question 18

Association between periodontal disease and preterm birth? Intervention helps?

Answer 18

yes, no

Question 19

Caries relationship to pregnancy?

Answer 19

No increased risk, but already present might be exacerbated

Question 20

Periods of Gestation?

Answer 20

Pre-implant: before 3rd week
Embryonic - before 8th week organogenesis
Fetal - after 8weeks

Question 21

Common period where teratogen afcts?

Answer 21

embryonic

Question 22

FDA drug pregnancy categories?

Answer 22

A - human studies no risk
B - animal no risk, no human OR animal risk but human no risk
C - animal risk but no human studies
D - human risk but benefits outweigh risk
X - risks in human and benefits dont outweigh

Question 23

Drugs contraindicated in pregnancy?

Answer 23

Anticonvulsants
Antineoplastic
Antimicrobial
Androgens
Warfarin
ACE inhibitor
Retinoids

Question 24

Tetracyclines can do what to baby?

Answer 24

discolor

Question 25

Sulfonamides and Nitrofurantoins timing?

Answer 25

Safe in 2nd/3rd trimester, avoid in 1st

Question 26

Analgesics concern in pregnancy?

Answer 26

ductus arteriosus closure

Question 27

Acetaminophen in pregnancy?

Answer 27

safe!

Question 28

aspirin safe?

Answer 28

no

Question 29

Ibuprofen/Naproxen?

Answer 29

avoid 1st and 3rd

Question 30

General anesthesia concerns in pregnancy?

Answer 30

difficult breathing in late pregnancy

Question 31

NO and LA's?

Answer 31

good

Question 32

SAFE radiologic tests in preganncy?

Answer 32

ultrasound, MRI, radiation

Question 33

Dental xray rads

Answer 33

0.0001

Question 34

Which radiologic test is bad?

Answer 34

radioactive iodine

Question 35

Tests to use cuatiously

Answer 35

radiopaque contrast agents (cautiously) Paramagnetic contrast agents for MRI Radionucleotide testing

Question 36

Radiation teratogenic effects

Answer 36

microcephaly | growth and mental retardation

Question 37

Radiation effects greatest when?

Answer 37

3-10wk

Question 38

Do major dentistry in which?

Answer 38

2nd and 3rd trimester

Question 39

Infants breastfeeding exclusively for?

Answer 39

1st 5 mo

Question 40

breastfeeding contraindicated when?

Answer 40

Taking antineoplastic, thyrotoxic and immunosuppressive agents Recieving radioactive isotopes Chemo or radiation therapy

Question 41

Safe medications for breastfeeding?

Answer 41

``` Antibiotics Analgesics Antihistamines IV contrast agents Nasal decongestants ```

Question 42

Resource for looking up medicines in breastfeeding?

Answer 42

Reprotox

Question 43

May use "bad" meds during breastfeeding using what technique?

Answer 43

Pump and dump

Question 44

Highest rate of contraception?

Answer 44

Implant