Lactation

Question 1

Stages of Labor

Stage 1: onset of ___ to full cervical ___
Stage 2: time from full dilation to ____
Stage 3: times from delivery of infant to delivery of the ____

Answer 1

1. labor, dilation
2. delivery
3. placenta

Question 2

Induction of Labor

___ used

Answer 2

oxytocin

Question 3

oxytocin adverse effects (4)

Answer 3

• tachysystole
• hyponatremia
• hypotension
• hyperbilirubunemia (newborns)

Question 4

max dose of oxytocin is ___ milliunits/min

Answer 4

40 milliunits/min

Question 5

Efficacy of Oxytocin

• reach active labor sooner and have ___ overall labor
• less likely to require ___ before or during labor

Answer 5

• shorter
• antibiotics

Question 6

oxytocin for postpartum hemorrhage

• First-line for uterine atony to prevent excessive ___
• range of ___ units/L

Answer 6

• blood loss
• 10-40

Question 7

oxytocin for medical termination

• typically during ___ trimester
• ___ dose than at term labor ( ___ units/500 mL over 3 hours, 1 hour rest, repeat adding an additional 50 units per cycle)

Answer 7

• 2nd
• higher, 50 units

Question 8

RID =

Answer 8

(baby mg/kg/day)/(mom mg/kg/day)

Question 9

Hale’s Lactation

L1. Safest (___, amoxicillin)
L2. Safer (diphenhydramine, ___)
L3. Moderately safe (pseudoephedrine, ___ )
L4. Possibly hazardous (colchicine, ___ )
L5. Contraindicated ( ___ , chemotherapy agents)

Answer 9

1. acetaminophen
2. fluoxetine
3. hydrocodone
4. dapsone
5. amiodarone

Question 10

infant effects

SSRIs

Answer 10

• irritability/agitation
• excessive crying
• sedation

Question 11

infant effects

TCAs

Answer 11

• poor feeding
• emesis
• sedation

Question 12

T of F: Academy of Breastfeeding Medicine encourages breastfeeding if enrolled in methadone-maintenance program

Answer 12

True

Question 13

out of all the opioids, ___ is prefered if breast feeding

Answer 13

morphine

Question 14

what can increase milk supply

Answer 14

• oatmeal
• brewer’s yeast
• metoclopramide
• pumping

Question 15

T or F: greatest milk supply happens in the morning

Answer 15

True

Question 16

drugs for tobacco abuse and lactation

short acting nicotine products like ___ or ___ recommended

Answer 16

gum or lozenge

Question 17

T or F: there is a case report of seizure in a breastfed infant whose mom takes bupropion

Answer 17

True