NARM Pharmacology and Medications 5

Question 1

Which controlled substance schedule is assigned to buprenorphine/naloxone (Suboxone) used for opioid use disorder treatment in pregnancy?

Accepted Answer

Schedule III

Answer

Schedule II

Answer

Schedule IV

Answer

Schedule V

Question 2

A neonate born to a mother on methadone maintenance therapy shows signs of neonatal opioid withdrawal syndrome (NOWS). Which clinical scoring tool is most commonly used to assess severity?

Accepted Answer

Finnegan Neonatal Abstinence Scoring System

Answer

Ballard Score

Answer

Apgar Score

Answer

LATCH breastfeeding assessment

Question 3

During a home birth, a client develops a severe postpartum hemorrhage and IV access cannot be established. Which route can be used to administer oxytocin as an alternative?

Accepted Answer

Intramuscular

Answer

Intrathecal

Answer

Intranasal

Answer

Inhalation

Question 4

A client with a history of postpartum depression asks about antidepressant use while breastfeeding. Which SSRI has the LOWEST transfer into breast milk and is generally preferred?

Accepted Answer

Sertraline (Zoloft)

Answer

Fluoxetine (Prozac)

Answer

Paroxetine (Paxil)

Answer

Citalopram (Celexa)

Question 5

Which statement about tranexamic acid (TXA) in postpartum hemorrhage is accurate based on the WOMAN trial?

Accepted Answer

TXA given within 3 hours of postpartum hemorrhage onset reduces death from bleeding

Answer

TXA is most effective when given more than 3 hours after birth onset

Answer

TXA replaces uterotonic therapy as first-line treatment

Answer

TXA is contraindicated after cesarean section

Question 6

A client at 34 weeks has severe preeclampsia with persistent headache. Which antihypertensive is recommended as first-line acute treatment for severe-range blood pressure (≥160/110) in obstetric settings?

Accepted Answer

IV hydralazine 5–10 mg or IV labetalol 20 mg

Answer

Oral labetalol 200 mg PO

Answer

Oral nifedipine 30 mg extended release

Answer

IV enalaprilat 1.25 mg

Question 7

What is the recommended hepatitis B vaccine schedule for a newborn born to a hepatitis B surface antigen (HBsAg) POSITIVE mother?

Accepted Answer

Hepatitis B vaccine AND HBIG, both given within 12 hours of birth at different sites

Answer

Hepatitis B vaccine only, within 12 hours of birth

Answer

Hepatitis B immune globulin (HBIG) only, within 12 hours, vaccine at 2 months

Answer

No immediate intervention; test infant at 6 months before deciding