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Maternal Newborn > CH 8 Infections > Flashcards

CH 8 Infections Flashcards

1
Q

What is a med for HIV

A

Retrovir (Zidovudine) a antiretroviral agent and also a nucleoside reverse transcriptase inhibitor

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2
Q

When should Retrovir be administered

A

At 14 weeks gestation, throughout the pregnancy and before the onset of labor or caesarean birth

It should be administered to the infant at delivery and for 6 weeks following birth

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3
Q

What is torch

A

It is an acronym for a group of infections that can negatively affect a woman who is pregnant
These infections can cross the placenta and have teratogenic affects on the fetus

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4
Q

How is toxoplasmosis caused

A

By consumption of raw or undercooked meat or handling cat feces

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5
Q

T- toxoplasmosis
O- other infection ( hep a&b, syphillis, mumps, parvovirus B19, and varicella zoster)
R- rubella
Cytomegalovirus ( member of herpes family, transmitted by droplet)
H- herpes

A

What does torch stand for?

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6
Q

What do manifestations of toxoplasmosis include

A

Fever and tender lymph nodes

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7
Q

What do manifestations of rubella include

A

Rash
Mild lymphedema
Fever
Fetal consequences which include miscarriage, preterm labor and intrauterine growth restriction

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8
Q

What does treatment of toxoplasmosis include

A

Sulfonamide or a combination of pyrimathamine and sulfadiazine ( potentially parasitic treatment is essential although potentially harmful to the fetus)

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9
Q

Wha is group b- hemolytic (GBS)

A

A bacterial infection that can be passed to a fetus during labor and delivery

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10
Q

When is GBS tested

A

Vaginal and rectal cultures are performed at 36-37 weeks gestation

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11
Q

What med is typically prescribed for GBS

A

Penicillin G or ampicillin ( principen)

A bactericidal antibiotic is used to destroy GBS

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12
Q

What lab tests determines if a person has chlamydia

A

Endocervical culture

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13
Q

What mess are prescribed for a person with chlamydia

A

A broad spectrum antibiotic such as azithromycin ( Zithromax) arms amoxicillin ( Amoxil)

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14
Q

What med should be given to all infants of a Chlamydia infected mother immediately following delivery?

A

Erythromycin ( Romycin) it is the med of choice for opthalmia neonatorum. It is both bactericidal and bacteriostatic. Providing prophylaxis against gonorrhea and chlamydia

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15
Q

What is HIV

A

A retrovirus that attacks And causes. Destruction of T Lymphocytes. It causes immunosuppression
It is transmitted from a mother to neonate perinatally thru the placenta and postnatally thru breast milk

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16
Q

What is gonorrhea

A

It is a bacterial infection that is primarily spread by genital to genital contact, it can also be spread by anal to genital or oral to genital contact. It can also be transmitted to a newborn during delivery. Woman are frequently asymptomatic.

17
Q

What subjective data does a male present that has gonorrhea

A

Urethral discharge
Dysuria
Polyuria

18
Q

What subjective data does a woman present with who has gonorrhea

A

Lower abdominal pain

Dysmenorrhea

19
Q

What laboratory tests determines if a person has gonorrhea

A

Urethral and vaginal cultures

Urine culture

20
Q

What objective data may a woman present with who has gonorrhea

A

Urethral discharge
Yellowish green vaginal discharge
Reddened vulva and vaginal walls

21
Q

If gonorrhea is left untreated, what may it cause

A

PID
heart disease
Arthritis

22
Q

What are Meds used to treat gonorrhea

A

Ceftriaxone ( Rocephin) IM and azithromycin ( Zithromax) PO

They are one dose prescriptions
Broad spectrum antibiotic that has bacteriocidal action.

23
Q

What are risk factors for a fungal infection caused by Candida albicans

A

DM
Oral contraceptives
Recent antibiotic Tx

24
Q

What is subjective data for Candida albicans

A

Vulvar itching

25
Q

What are objective physical assessment findings of a person who has Candida albicans

A

Thick creamy white vaginal discharge
Vulvar redness
White patches on vaginal walls
Gray- white patches on the tongue and gums ( neonate)

26
Q

What lab tests determines Candida albicans

A

Wet prep

27
Q

What diagnostic procedures indicate Candida albicans

A 
Potassium hydroxide (KOH) prep
Presence of hyphae  and pseudohyphae indicates positive findings
28
Q

What Meds are used to treat Candida albicans

A

Fluconazole ( diflucan)
Anti fungal agent
Fungicidal action

29
Q

What is contraindicated in a woman who is in labor that has HIV

A

Episiotomy
Vacuum extraction
Forceps
Internal fetal monitoring

30
Q

What clinical findings are suggestive of a TORCH infection

A

Joint pain- TORCH is flulike in presentation such as joint pain
Malaise- TORCH is flulike in presentation such as malaise
Rash
Tender lymph nodes-TORCH is flulike in presentation such as tender lymph nodes.

31
Q

What med may the nurse anticipate, will be prescribed for gonorrhea

A

Ceftriaxone ( Rocephin)

32
Q

What conditions have medications that can be prescribed as a prophylactic treatment during labor or immediately following delivery

A

Gonorrhea
Chlamydia
HIV
group B streptococcus b hemolytic

33
Q

Is there a treatment for cytomegalovirus

A

No

34
Q

Why is vaccination against rubella contraindicated during pregnancy

A

Due to the risk of fetal congenital anomalies

Maternal Newborn (26 decks)

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