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EE Chapter 58 Pain Management Q&A (1 OF 8) Sample Questions

1. A woman who underwent C-section needs an analgesic. She is breast feeding. What analgesic to avoid?

A. Codeine
B. Morphine
C. Acetaminophen
D. Ibuprofen
E. Hydromorphone

Ans: A

Strategic thinking:
1. Read the question. You are asked to identify a drug that should not be taken by the breastfeeding mother.
2. Look for cue and keyword or key phrases. There are few cues here: breastfeeding, AVOID. Keyword, analgesic. Your knowledge of drugs that are excreted in the breastmilk will help you easily identify the answer. Two drugs are compatible with breastfeeding from the given options. Acetaminophen and Ibuprofen. Two are transferred minimally in small amounts, Hydromorphone and Morphine. Only 1 option remains.
3. The answer is A, however keep in mind that codeine in itself does not pose danger to the mother and baby but its metabolite Morphine. But as per CTC 2019, FDA recommends against the use of Codeine while breastfeeding.

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