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What is the preferred treatment for heartburn during pregnancy?
Answer
AOmeprazole
BCalcium
CFamotidine
DLansoprazole
ESimethicone
Calcium
A pregnant woman has a bacterial vaginosis infection. Which of the following antibiotics are acceptable treatment options? (Select ALL that apply.)
AClindamycin oral
BClindamycin topical
CMetronidazole oral
DMetronidazole topical
ECiprofloxacin
What is the preferred treatment for constipation during pregnancy?
AStool softeners, such as docusate
BFiber, such as psyllium
CStimulant laxatives, such as senna
DOsmotic laxatives, such as polyethylene glycol
EGlycerin suppositories, as-needed
Fiber, such as psyllium
A woman has been instructed by her doctor to get a folic acid 1 mg tablet and to take one daily. She has looked on the pharmacy shelf and cannot locate this dose. She goes to ask the pharmacist who provides this information: (Select ALL that apply.)
AYou can purchase a 400 microgram dose over-the-counter.
BYou can purchase an 800 microgram dose over-the-counter.
CThe 1000 microgram dose is available over-the-counter.
DOne milligram is the same thing as 1000 micrograms.
EThe 1 milligram dose requires a prescription.
Jada is pregnant with her second child. She is in the pharmacy to pick up her prenatal vitamin prescription. The pharmacist asks Jada if she is consuming adequate dairy products. Jada replies that she does not like to drink milk because it gives her an upset stomach. Select the correct statements: (Select ALL that apply.)
AThe prenatal vitamin contains about 200 milligrams of calcium; Jada requires about five times this amount.
BIf the mother does not consume adequate calcium, the child will build his or her skeleton by depleting the mothers.
CJada can purchase milk that contains the lactase enzyme, such as Lactaid, that should not cause stomach upset.
DPerhaps Jada can get the additional calcium from calcium supplements; choose one that contains vitamin D.
EThe prenatal vitamin contains enough calcium, but many women do not choose to use it due to nausea from the iron component.
A drug is categorized by the FDA as Pregnancy Category A. Select the correct definition for the meaning of Pregnancy Category A:
AStudies in animals or humans show fetal abnormalities; use in pregnancy is contraindicated.
BPositive evidence of fetal risk is available, but the benefits may outweigh the risk if life-threatening or serious disease.
CNo controlled studies in humans have been performed and animal studies have shown adverse events, or studies in humans and animals are not available; give only if potential benefit outweighs the risk.
DEither animal studies have not demonstrated a fetal risk but there are no controlled studies in pregnant women, or animal studies have shown an adverse effect that was not confirmed in controlled studies in women in the 1st trimester.
EControlled studies in animals and women have shown no risk in the 1st trimester, and possible fetal harm is remote.
A pregnant woman at 28 weeks gestation has a UTI infection that is sensitive to amoxicillin, fosfomycin, sulfamethoxazole-trimethoprim and nitrofurantoin. Of the following antibiotics, which option is not preferred in pregnancy due to safety risks if other, safer options are available?
AAmoxicillin
BFosfomycin
CSulfamethoxazole-trimethoprim
DNitrofurantoin
EUTI treatment is not recommended during pregnancy; wait until after delivery to treat
Sulfamethoxazole-trimethoprim
Select the correct statements regarding treatment of hypothyroidism during pregnancy: (Select ALL that apply.)
ADo not treat hypothyroidism except if the mother's life is at risk; the treatment could cause birth defects, in all trimesters.
BLevothyroxine is the treatment of choice for hypothyroidism in pregnancy.
CHypothyroidism is always treated in pregnancy, and the dose will need to be increased as the Vd increases.
DLevothyroxine is pregnancy category A.
ELevothyroxine is pregnancy category B.
What is the preferred treatment for allergy symptoms (runny nose, itchy eyes) during pregnancy?
AOxymetazoline nasal spray
BPseudoephedrine
CChlor-Trimeton
DPhenylephrine
EFluticasone nasal spray
Chlor-Trimeton
Select the lifestyle changes that might help reduce constipation during pregnancy (and at other times as well): (Select ALLthat apply.)
AIncreasing fiber in the diet.
BAdequate fluid intake.
CIf the woman will not increase water intake, suggest green or black tea as an alternative.
DPhysical activity can be helpful, using forms that are safe during pregnancy.
EChanging from white rice to brown rice, or from white bread to whole grain bread.
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