Pregnancy and lactation

Question 1

OTC drugs to avoid in constipation in pregnancy

Answer 1

Mineral and castor oil

Question 2

For GERD in pregnancy, avoid what 2 drugs?

Answer 2

Sodium bicarbonate and gaviscon

Question 3

How to treat hemorrhoids in pregnancy?

Answer 3

Fiber, fluid, sitz baths, laxatives and stool softeners.

Question 4

3 Symptom relief options for hemorrhoids in pregnancy:

Answer 4

Topical lidocaine, witch hazel, hydrocortisone

Question 5

4 Nausea and vomiting therapy options in pregnancy

Answer 5

Diclegis, Reglan, zofran, and ginger

Question 6

Options for hyperemesis gravidarum, list risk too

Answer 6

Dexamethasone and prednisolone, risk of oral cleft

Question 7

First line for gestational diabetes

Answer 7

Insulin

Question 8

Second line for gestational diabetes

Answer 8

Glyburide

Question 9

Pregnancy term for hypertension with proteinuria

Answer 9

Pre-eclampsia

Question 10

Definition of eclampsia

Answer 10

Hypertension with proteinuria with seizures

Question 11

Definition of hypertension in pregnancy

Answer 11

90 diastolic BP from 2 readings

Question 12

for women at risk of pre-eclampsia, _____ after 12 weeks gestation reduces risk. When to stop?

Answer 12

81 mg aspirin. Talk with doctor about risk vs benefit.

Question 13

What supplement at what dose reduces hypertension and pre-eclampsia risk in pregnancy?

Answer 13

Calcium 1 gram per day

Question 14

What supplement is used to prevent progression from pre-eclampsia to eclampsia and to treat eclamptic seizures?

Answer 14

Magnesium sulfate

Question 15

Avoid which 2 drugs in eclamptic seizures?

Answer 15

Diazepam and phenytoin

Question 16

What to do about gestational hyperthyroid?

Answer 16

Nothing, usually resolves after 20 weeks gestation

Question 17

When is ibuprofen (all NSAIDS) contraindicated in pregnancy?

Answer 17

1st and 3rd trimester

Question 18

OTC option for tension headache in pregnancy?

Answer 18

Tylenol or ibuprofen (not 1st or 3rd trimester)

Question 19

What to take for migraine associated nausea in pregnancy?

Answer 19

Promethazine, reglan, or compazine

Question 20

Used in pregnancy with severe headaches not responsive to other treatments:

Answer 20

Propranolol low dose as preventative

Question 21

Drug of choice for asymptomatic bacteriuria in pregnancy

Answer 21

Cephalexin

Question 22

When and why to avoid macrobid during pregnancy

Answer 22

After 37 weeks due to risk for hemolytic anemia

Question 23

When to use Bactrim for UTI in pregnancy

Answer 23

Don’t

Question 24

When during gestation is cipro best for UTI treatment?

Answer 24

Never

Question 25

Why are tetracyclines contraindicated during pregnancy?

Answer 25

Bone malformations

Question 26

Herpes treatment in pregnancy

Answer 26

Acyclovir

Question 27

Treatment of choice for yeast infection in pregnancy

Answer 27

Topical / intravaginal antifungals

Question 28

Oral treatment of choice for yeast infection in pregnancy, risks associated

Answer 28

Terbinafine or fluconazole 150 mg. Fluconazole very low risk of spontaneous abortion in first trimester. Risk increases with higher doses.

Question 29

Preferred inhaled corticosteroid in asthma in pregnancy

Answer 29

Budesonide

Question 30

What steroids are recommended in severe asthma during pregnancy?

Answer 30

Systemic

Question 31

First line for runny nose and congestion in pregnancy

Answer 31

Nasal Beclomethasone or budesonide

Question 32

Can Afrin be used for congestion in pregnancy?

Answer 32

Yes

Question 33

Drug of choice for diabetes during pregnancy

Answer 33

Insulin

Question 34

Insulin initiation dosing in pregnancy

Answer 34

0.7 to 1 unit per kg per day divided

Question 35

Which are the safest 2 anti seizure meds in pregnancy?

Answer 35

Lamotrigine and carbamazepine

Question 36

Tegretol and lamictal can cause what birth defect?

Answer 36

Cleft palate

Question 37

If anti seizure meds will be stopped prior to conception, how long before must they be stopped?

Answer 37

6 months

Question 38

All women with epilepsy should take folic acid at what dose daily?

Answer 38

4-5 mg

Question 39

Drug therapy is indicated for blood pressure in pregnancy of _____

Answer 39

160/110

Question 40

Drug of choice for HTN in pregnancy

Answer 40

Labetalol

Question 41

Why choose Slynd over other progestin only pills?

Answer 41

Can miss a day without as much risk as other POP’s

Question 42

Orilissa

Answer 42

Elagolix

Question 43

Elagolix

Answer 43

Orilissa

Question 44

Elagolix MOA

Answer 44

GNRH antagonist

Question 45

Elagolix indication

Answer 45

Endometriosis

Question 46

Elagolix 4 common side effects

Answer 46

Amenorrhea, hot flashes, nausea, headache, BMD decrease

Question 47

Uncomplicated acute UTI in pregnancy 2 empiric antibiotics of choice:

Answer 47

Augmentin or cefpodoxime

Question 48

What formulation of dextromethorphan should be avoided in pregnancy?

Answer 48

Liquids with ethanol

Question 49

What cough med otc is okay in pregnancy?

Answer 49

Dextromethorphan and guaifenesin

Question 50

Safest topical pain relief in pregnancy?

Answer 50

Lidocaine

Question 51

Safest oral pain relief in pregnancy? Duration?

Answer 51

Tylenol, not chronic use.

Question 52

OTC Topical pain relief option after delivery

Answer 52

Dermoplast spray (benzocaine)

Question 53

How does estrogen increase clot risk?

Answer 53

It stimulates clotting protein production in the liver