When possible, drug therapy is postponed until after pregnancy and lactation. Which acute and chronic conditions must be managed during pregnancy?
1. Epilepsy.
2. Serious cystic acne.
3. Sexually transmitted diseases.
4. Gestational diabetes.
5. Hypertension.
Correct Answer: 1,3,4,5
Rationale 1: Epilepsy is a preexisting disease. It would not be wise to discontinue therapy during pregnancy and lactation.
Rationale 2: Cystic acne may be treated with isotretinoin (Accutane). Isotretinoin is a Class X drug and can cause fetal brain damage. Other antibiotics such as tetracycline are Class D and should not be used in pregnancy.
Rationale 3: Sexually transmitted diseases can harm the fetus.
Rationale 4: Gestational diabetes is a complication related to pregnancy that must be treated for the safety of both the mother and growing fetus.
Rationale 5: If hypertension is present prior to pregnancy, it would be unwise to discontinue therapy during pregnancy and lactation.
Global Rationale: Epilepsy is a preexisting disease. It would not be wise to discontinue therapy during pregnancy and lactation. Sexually transmitted diseases can harm the fetus; therefore, they must be treated during pregnancy. Gestational diabetes is a complication related to pregnancy that must be treated for the safety of both the mother and growing fetus. If hypertension is present prior to pregnancy, it would be unwise to discontinue therapy during pregnancy and lactation. Cystic acne may be treated with isotretinoin (Accutane). Isotretinoin is a Class X drug and can cause fetal brain damage. Other antibiotics such as tetracycline are Class D and should not be used in pregnancy.
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