Antepartum: Maternal Infections

Question 1

German Measles (rubella) maternal infection in the first ___wks carries the highest rate of infecting the fetus

Answer 1

8 weeks

Question 2

T or F Syphilis can cross the placenta?

Answer 2

True

Question 3

T or F Human papilloma virus and Chlamydial can infect fetus during vaginal delivery?

Answer 3

True

Question 4

Gonorrhea: When is fetus contaminated?

Answer 4

At time of delivery, Maternal infection may result in postpartum infection of neonate

Question 5

Trichomoniasis associated with (2)

Answer 5

1) Premature rupture of the membranes2) postpartum endometritis

Question 6

Gential Herpes Simplex Virus: Best delivery route?

Answer 6

Vaginal is accepted if no lesions. if lesions are present c-section is preferred.

Question 7

T or F Maternal gonorrhea infection may result in postpartum infection of the neonate?

Answer 7

T

Question 8

Gonorrhea: Risks to the neonate include (4)

Answer 8

1) Ophthalmia2) Neonatorum3) Pneumonia4) Sepis

Question 9

Chlamydial infection can cause (3)

Answer 9

1) Premature rupture of the membranes2) Premature labor3) Postpartum endometritis

Question 10

Gential herpes simplex virus characterized by: (5)

Answer 10

1) Painful lesions2) Fever3) Chills4) Malaise5) Severe dysuria and may last 2 to 3 weeks

Question 11

Hepatitis B transmitted via (4)

Answer 11

1) Blood2) Vaginal and semen secretions3) Breast milk4) Across placenta

Question 12

Can mother with Hep B breastfeed?

Answer 12

Yes, if neonate is is administered1) Hepatits B immune globulin2) Hep B vaccine

Question 13

Hep B: Nursing interventions during/after birth

Answer 13

1) Limit vaginal examinations to reduce risk of infections2) Suction and bathe the neonate immediately after birth

Question 14

Hep B: Instructions to mother regarding vaccination (3)

Answer 14

1) One dose at birth2) 2nd dose at one month3) 3rd does at 6 months

Question 15

Can mother be immunized for Rubella while pregnant?

Answer 15

No, it will be done postpartum before discharge

Question 16

During labor or immediately after, infant can be treated prophylactically for 2 infections with what med?

Answer 16

1) Gonorrhea & Chlamydia2) Erythromycin (Romycin)

Question 17

HIV client in labor can be treated prophylactically with what medication?

Answer 17

1) Retrovir (Zidovudine)

Question 18

Group B Streptococcus B-hemolytic can be treated prophylactically during labor with what med?

Answer 18

1) Penicillin G or ampicillin (Principen)

Question 19

Pt with gonorrhea can be treated with what med?

Answer 19

1) Ceftriaxone (Rocephin) is this safe during pregnancy?

Question 20

TORCH INFECTIONSCheck Diagnostic Testing 00-13 weeks for review

Answer 20

ToxplasmosisRubellaCytomegalovirusHerpes simple (HSV)(ATI 81)

Question 21

Toxoplasmosis infection can be contracted by (2)

Answer 21

1) Cat feces2) Eating raw meat