Pharmacology · single question

What do NSAIDs cause in the fetus (notably late in pregnancy)?

  1. Umbilical cord damage
  2. Breakdown of the placental barrier
  3. Premature closure of the ductus arteriosus
  4. Neural tube defects
Show answer and explanation

Correct answer: C. Premature closure of the ductus arteriosus

  • A. NSAIDs are not specifically associated with direct umbilical cord damage as their primary fetal risk.
  • B. NSAIDs are not specifically associated with placental barrier breakdown as their primary fetal risk.
  • C. Correct. NSAIDs (via prostaglandin inhibition) can cause premature closure of the fetal ductus arteriosus, particularly when used in the third trimester, a well-established fetal risk.
  • D. Neural tube defects are associated with other exposures (e.g., folate deficiency, certain anticonvulsants like valproate), not the classic NSAID-associated fetal risk.

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