Author Question: A pregnant woman with a life-threatening condition must take medication that can cause harm to her ... (Read 46 times)

urbanoutfitters · **on:** Jul 24, 2018

A pregnant woman with a life-threatening condition must take medication that can cause harm to her fetus. What is the pregnancy category that this medication most likely represents?

1. A
2. B
3. C
4. D

Question 2

Which medication would have the greatest risk to a fetus if given to a pregnant client?

1. Warfarin (Coumadin)
2. Ranitidine (Zantac)
3. Estrogen with progesterone (Ortho Novum)
4. Potassium chloride (K-Lor)

ErinKing · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 4

Rationale 1: Category A carries the lowest risk to the fetus and mother.
Rationale 2: Category B drugs have not shown a risk to the fetus in animal studies, or if they have, studies of women have not confirmed this risk.
Rationale 3: Category C drugs have shown a risk in animal studies, but controlled studies have not been performed in women.
Rationale 4: Drugs from category D can cause harm to the fetus but could provide benefit to the mother in a life-threatening situation or when a safer therapy is not available.

Global Rationale: Drugs from category D can cause harm to the fetus but could provide benefit to the mother in a life-threatening situation or when a safer therapy is not available. Category A carries the lowest risk to the fetus and mother. Category B drugs have not shown a risk to the fetus in animal studies, or if they have, studies of women have not confirmed this risk. Category C drugs have shown a risk in animal studies, but controlled studies have not been performed in women.

Answer to Question 2

Correct Answer: 3

Rationale 1: Warfarin (Coumadin) is incorrect because it is a category D drug.
Rationale 2: Ranitidine (Zantac) is incorrect because it is a category B drug.
Rationale 3: Estrogen with progesterone (Ortho Novum) is a category X drug, and carries the highest risk; studies have shown a significant risk to women and fetuses.
Rationale 4: Potassium chloride (K-Lor) is incorrect because it is a category A drug.

Global Rationale: Estrogen with progesterone (Ortho Novum) is a category X drug, and carries the highest risk; studies have shown a significant risk to women and fetuses. Warfarin (Coumadin) is incorrect because it is a category D drug. Ranitidine (Zantac) is incorrect because it is a category B drug. Potassium chloride (K-Lor) is incorrect because it is a category A drug.