Deck 32: Common Discomforts of Pregnancy

Question 1

Exposure to blue light promotes melatonin production and enhances sleep quality.

Answer 1

False

Question 2

Behavioral therapy is less effective than pharmacological treatment for insomnia.

Answer 2

False

Question 3

Nausea and vomiting of pregnancy typically resolves at what gestational age?

A) 9-11 weeks
B) 12-14 weeks
C) Near term

Answer 3

B

Question 4

Which of the following is not a component of the Pregnancy-Unique Quantification of Emesis and Nausea Index (PUQE index)?

A) Episodes of emesis per day
B) Hours per days of nausea
C) Percentage of weight loss
D) Times per day of retching

Question 5

Which of the following herbs is safe to use during pregnancy as a remedy for nausea and vomiting?

A) Ginger
B) Linden
C) Meadowsweet
D) Motherwort

Question 6

Intravenous fluid therapy for nausea and vomiting of pregnancy should be reserved for situations where other methods have failed.

Question 7

Identify the medication that is the only FDA-approved option for nausea and vomiting of pregnancy.

A) Diclegis
B) Metoclopramide
C) Ondansetron
D) Promethazine

Question 8

Which of the following would not be included in the differential diagnosis a woman with heartburn during pregnancy?

A) Cholestasis of pregnancy
B) Gallbladder disease
C) HELLP syndrome
D) Pancreatitis

Question 9

Acid inhibitors are benign and the first line of treatment for gastroesophageal reflux during pregnancy.

Question 10

Raft-forming antireflux medications are an effective option for GERD during pregnancy.

Question 11

M.S. is 34 weeks gestation and has had heartburn during her pregnancy that thus far has been relieved by lifestyle modification and calcium carbonate. Today she drops in to your office stating that her symptoms have worsened in the last 24 hours. She looks very sick and states that she now has midepigastric pain with nausea, vomiting, and malaise. She says the pain is constant and not food related. Which of the following would be the best management at today's visit?

A) Begin omeprazole and call in 24 hours if symptoms don't resolve
B) Consult with physician to rule out HELLP syndrome
C) Order ultrasound to rule out gallbladder disease
D) Prescribe ranitidine and begin IV hydration with 1-2 liters

Question 12

D.D. is currently 10 weeks pregnant and states that she is nauseous all the time and vomiting 2-3 times a day. She has lost 2 pounds in 5 weeks. At the last visit you instructed her about natural remedies, which she has tried without relief. She would like to try medication. Which of the following would you prescribe for her?

A) Diphenhydramine
B) Doxylamine with Pyridoxine
C) Ondansetron
D) Prochlorperazine

Question 13

Most women experience some nausea and/or vomiting during pregnancy.

Question 14

You are seeing a woman for her second prenatal visit at 14 weeks. She has felt very lucky because thus far her only pregnancy symptoms have been fatigue and breast tenderness. Today she presents with nausea and vomiting for 2 days. The nausea and vomiting are likely due to pregnancy.

Question 15

Which of the following is true of hyperemesis gravidarum?

A) A woman with previous hyperemesis will almost always have it with subsequent pregnancies.
B) Diagnosis can be made by ketonuria, micronutrient deficit, and weight loss of at least 5 pounds.
C) For diagnosis you must have weight loss of greater than 5% of prepregnancy body weight.
D) Wernicke's encephalopathy is a common sequelae of patients with hyperemesis gravidarum.