The clinic nurse will immediately alert the health care provider when which category X drugs are identified on a recently diagnosed pregnant patient?
1. Tetracycline
2. ACE inhibitor antihypertensive medication
3. Methotrexate
4. Isotretinoin (Accutane)
5. Oral contraceptives
Correct Answer: 3,4,5
Rationale 1: Tetracycline is in category D, not category X. It should be avoided during pregnancy, and the nurse should alert the health care provider.
Rationale 2: ACE inhibitor antihypertensive drugs are in category C and are considered safe during pregnancy.
Rationale 3: Methotrexate is in category X and should be avoided during pregnancy.
Rationale 4: Isotretinoin is in category X and should be avoided during pregnancy.
Rationale 5: Oral contraceptives are in category X and should be avoided during pregnancy.
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