Antepartum: Maternal Infections Flashcards
German Measles (rubella) maternal infection in the first ___wks carries the highest rate of infecting the fetus
8 weeks
T or F Syphilis can cross the placenta?
True
T or F Human papilloma virus and Chlamydial can infect fetus during vaginal delivery?
True
Gonorrhea: When is fetus contaminated?
At time of delivery, Maternal infection may result in postpartum infection of neonate
Trichomoniasis associated with (2)
1) Premature rupture of the membranes2) postpartum endometritis
Gential Herpes Simplex Virus: Best delivery route?
Vaginal is accepted if no lesions. if lesions are present c-section is preferred.
T or F Maternal gonorrhea infection may result in postpartum infection of the neonate?
T
Gonorrhea: Risks to the neonate include (4)
1) Ophthalmia2) Neonatorum3) Pneumonia4) Sepis
Chlamydial infection can cause (3)
1) Premature rupture of the membranes2) Premature labor3) Postpartum endometritis
Gential herpes simplex virus characterized by: (5)
1) Painful lesions2) Fever3) Chills4) Malaise5) Severe dysuria and may last 2 to 3 weeks
Hepatitis B transmitted via (4)
1) Blood2) Vaginal and semen secretions3) Breast milk4) Across placenta
Can mother with Hep B breastfeed?
Yes, if neonate is is administered1) Hepatits B immune globulin2) Hep B vaccine
Hep B: Nursing interventions during/after birth
1) Limit vaginal examinations to reduce risk of infections2) Suction and bathe the neonate immediately after birth
Hep B: Instructions to mother regarding vaccination (3)
1) One dose at birth2) 2nd dose at one month3) 3rd does at 6 months
Can mother be immunized for Rubella while pregnant?
No, it will be done postpartum before discharge
During labor or immediately after, infant can be treated prophylactically for 2 infections with what med?
1) Gonorrhea & Chlamydia2) Erythromycin (Romycin)
HIV client in labor can be treated prophylactically with what medication?
1) Retrovir (Zidovudine)
Group B Streptococcus B-hemolytic can be treated prophylactically during labor with what med?
1) Penicillin G or ampicillin (Principen)
Pt with gonorrhea can be treated with what med?
1) Ceftriaxone (Rocephin) is this safe during pregnancy?
TORCH INFECTIONSCheck Diagnostic Testing 00-13 weeks for review
ToxplasmosisRubellaCytomegalovirusHerpes simple (HSV)(ATI 81)
Toxoplasmosis infection can be contracted by (2)
1) Cat feces2) Eating raw meat