Danger signs of pregnancy

Question 1

TORCH

Answer 1

Toxoplasmosis
Other infections( syphilis,hep b virus,HIV)
Rubella
Cytomegalovirus
Herpes simplex virus

Question 2

Danger sign of pregnancy

Answer 2

1. vaginal bleeding
2. Persistent vomiting (hyperemesia gravidarum)
   3.chills and fever
3. sudden escape of clear fluid from vagina
4. abdominal or chest pain

Question 3

refers to a potentially severe and even fatal elevation of blood pressure that occurs during pregnancy. A number of symptoms signal that PIH is developing.

Answer 3

Pregnancy induced hypertension

Question 4

Pregnancy induced hypertension symptoms

Answer 4

•rapid weight gain
(over 2lb per week 2nd trimester, 1lb per week in 3rd trimester)
•swelling of face and finger
•flashes of light or dots before the eyes
•dimness or blurring of vision
•severe, continous headache
•decrease urine output
•increase or decrease fetal movement

Question 5

Factors influence the amount of damage a teratogen can cause

Answer 5

1.Strength of the teratogen
2.Timing of teratogenic insult
3.Teratogen’s affinity for specific tisue

Question 6

is an immunologic survey to determine whether these infections exist in either the pregnant woman ( to identify fetal risk factors) or the newborn. to detect if antibodies against the common infectious teratogens are present.)

Answer 6

Torch screen

Question 7

TOXOPLASMOSIS- a protozoan infection, spread most commonly through contact with uncooked meat, although it may also be contraced through handling cat stool in soil or cat litter.
Fetal damage?

Answer 7

the infant may be born with central nervous system damage, hydrocephalus, microcephaly, intracerebral calcification, and retinal deformities.

Question 8

CYTOMEGALOVIRUS- a member of herpes virus family.
fetal damage?

Answer 8

the infant maybe born neurologically challenged (hydrocephalus, microcephaly), or with eye damage, deafness, or chronic liver disease.
The child skin maybe covered with large petechiae( “blueberry-muffin” lesions”)

Question 9

Herpes simplex virus (genital herpes infection)
fetal damge?

Answer 9

1st trimester, severe congenital anomalies or spontaneous miscarriage.
• 2nd and 3rd trimester, intrauterine growth restriction, and continuing infection of the newborn at birth.
• Intravenous or oral acyclovir (zovirax) can be administered.

Question 10

Rubella( german measles)
fetal damage?

Answer 10

deafness, cataracts, cardiac defects, restricted intrauterine growth, cytopenic purpura, and dental and facial clefts, such as cleft lip and palate.

Question 11

Androgen- for endometriosis

Answer 11

Masculinization

Question 12

Thalidomide- for vomiting

Answer 12

Phocomelia,cardiac and lung defect

Question 13

Anticonvulsants( dilantin,valproic acid,carbamazepine)- for seizures

Answer 13

Neural tube defect- defiency of folic acid
Cleftlip and palate
Congenital heart defect

Question 14

Tranquilizers (diazepam)- to reduce anxiety

Answer 14

Club foot,
growth retardation
CNS dysfunction

Question 15

Vit K- Anticoagulant (warfarin-coumarin)- anticoagulation

Answer 15

hyperbilirubinemia
fetal bleeding or anomalies

Question 16

Anti-inflammatory (steroids,cortisone)- anti allergy anti inflammatory

Answer 16

cleftlip palate

Question 17

Iodides- for hypothyroidism

Answer 17

goiter,mental retardation