Pharmacology NUR 2474 Module 10 Quiz: Q’s And A’s
What should we always do before giving a medication to a pregnant woman?
Right Ans - See if the benefits of giving the medication outweigh the risks
What are the effects of alcohol on the pregnant women and fetus if taken
during pregnancy? Right Ans - Fetal Alcohol Syndrome may occur, but
studies have not be done as they are unethical to put the mom and baby
through. However there may be a link for fetal abnormalities still.
What should be avoided during pregnancy at all times? Right Ans - Alcohol
What can happen to the fetus if harm is done by drugs in the first trimester or
through weeks 3 to 8? Right Ans - Most of the major fetal harm and gross
malformations can be done here to the fetus from teratogenic drugs.
What can happen to the fetus if harm is done by drugs in the 2nd/ 3rd
trimesters or from week 9 to delivery? Right Ans - Period where
teratogenic drug exposure can disrupt function rather than organ
development and formation.
FDA Class A pregnancy risk Right Ans - Safest drugs as studies have shown
that these drugs have failed to demonstrate the risk of fetal harm
FDA Class B pregnancy risk Right Ans - Slightly more of a risk, as human
studies show no risk to the fetus during first trimester, but in animals the drug
can do harm on the offspring
FDA Class C pregnancy risk Right Ans - Greater risk, but animal studies
show risk for fetal harm but no studies have been done on humans to show
fetal harm
FDA Class D pregnancy risk Right Ans - There is a proven risk for fetal
harm, but benefits of use during pregnancy must outweigh the risks.
FDA Class X pregnancy risk Right Ans - There is a definite risk for fetal
harm for use of the drug in pregnancy and risk for fetal harm with adverse
reactions. Women should not use this drug during pregnancy.
, Lipid soluble drugs... Right Ans - Do not require a transporter protein to
cross the membrane of most cells and tissues
Water soluble drugs... Right Ans - Do not easily cross the membrane and
need transporter proteins to be let in and out of a membrane, safer to use!
What is the issue with lipid soluble membranes? Right Ans - Because they
cross directly, they can cross the blood brain barrier quickly, placenta quickly,
and breastmilk quickly, causing potential harmful effects on the person and
the fetus.
Should patients with asthma and who are pregnant stop taking their asthma
medications to ensure no fetal harm? Right Ans - NO!- Asthma medications
are needed in the pregnant women because uncontrolled asthma can cause
more detrimental effects on the fetus than the medications themselves, such
as stillbirths
Do children receiving chemo drugs receive the same DRUGS as adults do?
Right Ans - YES!- They receive the same drugs as there are no specific
pediatric chemo drugs
Do children receiving chemo drug receive the same DOSE of medications as
adults do? Right Ans - NO!- They should receive a pediatric dose of the drug
based on age, weight, and body surface area
At what year in life will the liver be fully matured and function at an adult
level? Right Ans - Liver Matures by 1 year old
At what year in life will the kidney's be able to be fully mature and excrete at
an adult level? Right Ans - Kidneys can excrete by 1 year old
What is a side effect of tetracycline in children? Right Ans - Staining of the
baby teeth
Risk factors for Older adult drug use: Right Ans - Older adults are more
sensitive to drugs
Have multiple illness comorbidities, meaning more drugs will be used
Poor adherence
Slower GI absorption and delayed gastric emptying
What should we always do before giving a medication to a pregnant woman?
Right Ans - See if the benefits of giving the medication outweigh the risks
What are the effects of alcohol on the pregnant women and fetus if taken
during pregnancy? Right Ans - Fetal Alcohol Syndrome may occur, but
studies have not be done as they are unethical to put the mom and baby
through. However there may be a link for fetal abnormalities still.
What should be avoided during pregnancy at all times? Right Ans - Alcohol
What can happen to the fetus if harm is done by drugs in the first trimester or
through weeks 3 to 8? Right Ans - Most of the major fetal harm and gross
malformations can be done here to the fetus from teratogenic drugs.
What can happen to the fetus if harm is done by drugs in the 2nd/ 3rd
trimesters or from week 9 to delivery? Right Ans - Period where
teratogenic drug exposure can disrupt function rather than organ
development and formation.
FDA Class A pregnancy risk Right Ans - Safest drugs as studies have shown
that these drugs have failed to demonstrate the risk of fetal harm
FDA Class B pregnancy risk Right Ans - Slightly more of a risk, as human
studies show no risk to the fetus during first trimester, but in animals the drug
can do harm on the offspring
FDA Class C pregnancy risk Right Ans - Greater risk, but animal studies
show risk for fetal harm but no studies have been done on humans to show
fetal harm
FDA Class D pregnancy risk Right Ans - There is a proven risk for fetal
harm, but benefits of use during pregnancy must outweigh the risks.
FDA Class X pregnancy risk Right Ans - There is a definite risk for fetal
harm for use of the drug in pregnancy and risk for fetal harm with adverse
reactions. Women should not use this drug during pregnancy.
, Lipid soluble drugs... Right Ans - Do not require a transporter protein to
cross the membrane of most cells and tissues
Water soluble drugs... Right Ans - Do not easily cross the membrane and
need transporter proteins to be let in and out of a membrane, safer to use!
What is the issue with lipid soluble membranes? Right Ans - Because they
cross directly, they can cross the blood brain barrier quickly, placenta quickly,
and breastmilk quickly, causing potential harmful effects on the person and
the fetus.
Should patients with asthma and who are pregnant stop taking their asthma
medications to ensure no fetal harm? Right Ans - NO!- Asthma medications
are needed in the pregnant women because uncontrolled asthma can cause
more detrimental effects on the fetus than the medications themselves, such
as stillbirths
Do children receiving chemo drugs receive the same DRUGS as adults do?
Right Ans - YES!- They receive the same drugs as there are no specific
pediatric chemo drugs
Do children receiving chemo drug receive the same DOSE of medications as
adults do? Right Ans - NO!- They should receive a pediatric dose of the drug
based on age, weight, and body surface area
At what year in life will the liver be fully matured and function at an adult
level? Right Ans - Liver Matures by 1 year old
At what year in life will the kidney's be able to be fully mature and excrete at
an adult level? Right Ans - Kidneys can excrete by 1 year old
What is a side effect of tetracycline in children? Right Ans - Staining of the
baby teeth
Risk factors for Older adult drug use: Right Ans - Older adults are more
sensitive to drugs
Have multiple illness comorbidities, meaning more drugs will be used
Poor adherence
Slower GI absorption and delayed gastric emptying
