Question 1
A 16-year-old adolescent is 6 weeks pregnant. The pregnancy has exacerbated her acne. She
asks her CNM if she can resume taking her isotretinoin (Accutane) prescription, a category X
drug, prescribed by her dermatologist. What is the most appropriate response by the CNM:
Select one:
a.“You should reduce the Accutane dosage by half during pregnancy.”
b.“Accutane is known to cause birth defects and should never be taken during pregnancy.”
c.“Since you have a prescription for Accutane, it is safe to resume using it.”
d.“You should consult with your dermatology provider at your next visit.”
Question 2
To reduce the effect of a prescribed medication on the infant of a breastfeeding mother, how
should the CNM teach the mother to take the medication?
Select one:
a.Immediately before the next feeding
b.At night
c.In divided doses at regular intervals around the clock
d.Immediately after breastfeeding
Question 3
To reduce the chance of a duplicate medication order for the older patient who presents for
his first outpatient visit with a CNP after a hospitalization, what action should the provider
take? (Select all that apply.)