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

Buprenorphine-containing products like Suboxone are classified as Schedule III controlled substances by the DEA.

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

The Finnegan Neonatal Abstinence Scoring System (FNASS) is the standard tool for assessing the severity of neonatal opioid withdrawal and guiding pharmacologic treatment.

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

Oxytocin can be administered intramuscularly (10 units IM) when IV access is unavailable, and is standard practice in out-of-hospital birth settings.

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

Sertraline has the lowest relative infant dose (RID <2%) among SSRIs and is considered the preferred antidepressant during breastfeeding.

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

The WOMAN trial showed that tranexamic acid reduces death due to bleeding when administered within 3 hours of postpartum hemorrhage onset, without increasing thromboembolic events.

(NARM) North American Registry of Midwives Practice Test

(NARM) North American Registry of Midwives Practice Test

NARM Pharmacology and Medications 5