Exam 3 part 4 Flashcards
Transmitted primarily though sexual contact
Spread by direct contact with blood and body fluids
Perinatal transmission to fetus
Hepatitis B
is an RNA virus
Spread by contact with blood or blood contaminated item can spread sexually as well
Leading indication for liver transplant
Hepatits C
new borns should not be tested for hep c prior to
18 months of age
treatment for HIV
highly active anti-retroviral therapy HAART
if viral load >1000 copies baby will be delivered
by scheduled c section
viral load > 1000 copies mother will be given
Zidovudine IV 4 hours prior to c section
if viral load
vaginally
viral load
Zidovudine IV during labor and oral antivirals will be continued
treat baby born to HIV mother with
Zidovudine after delivery and continue for 6 weeks
medication for herpes simplex I
acycolvir (Zovirax)
Valacyclovir (valtrex)
S and S of Herpes simplex II in the 3rd trimester
Neonatal HSV infection
IUGR
Prematurity
visible genital warts are caused by HPV types
6 and 11
HPV types that usually cause cervical neoplasia
16 18 31 33 35
when there are condyloma the babies has a increased risk of
laryngeal papillomatosis or recurrent respiratory papillomatosis RRP
drug of choice for pelvic inflammatory disease
Ceftriaxone 250 mg IM
s and s baby born while mom has pelvic inflammatory disease
LBW
Ophthalmia
neonatorum
pneumonia
S and S of vulvovaginal candidiasis
pruritus
Vulvar erythemia
+/- discharge
VULVOVAGINAL CANDIDIASIS IS ASSOCIATED WITH
pregnancy
DM
antibiotic therapy
treat vulvovaginal candidiasis with
antifungals (Diflucan or Fluconazole)
treatment for bacterial vaginosis
metronidazole 500 mg
treatment for uncomplicated UTI
Kefelex 250 mg Q6h 7 days
Nitrofurantoin (macrobid) 100 mg PO BID 7 days
treatment for gonorrhea
ceftriaxone 250 mg IM
Side effects of gonorrhea in pregnancy
PTL
PROM
chlamydia causes the uterus to be
Mucopurulent
Edematous
treatment for chlamydia
Azithromycin 1 gm PO single dose
Doxycycline 100 mg PO BID 7 days (do not give during pregnancy)
Amoxicillin 500 mg
feta/ newborn issues when mom has chlamydia
Ophthalmia neionatorum
chlaymydial pneumonia
fourfold increase =
current infection
fourfold decrease =
adequate treatment
when should women being tested for syphilis during pregnancy
early and then again at 28 weeks
problems seen in fetal/newborn babies with syphilis
Non-immune hydrops Jaundice Hepatosplenomegaly Rhinitis skin rash Pseudoparalysis of an extremity
disease associated with strawberry cervix
trichomoniasis
treatment for trichomoniasis
Metronidazole 2 gm PO
fetal and newborn issues with trichomoniasis
preterm birth
LBW
Used for prophylaxis against ophthalmia neonatorum and chlamydial organisms
Both gonorrhea and chlamydial may damage cornea and other eye structures
Given within the first hour after birth
Erythromycin ointment
Side effects of erythromycin ointment
Sensitivity reaction
Edema
Inflammation
Blurry vision
how much vitamin k is give
0.5-1mg IM vastus lateralis thigh muscle
Side effects of vitamin K
Pain
Edema
allergic reaction
when does the Hep B vaccine count towards the three part series
> 2500 grams
how long should you wait before doing the newborn hearing screen
48-72 hours
Probe placed in ear canal
Tonal or click stimuli are delivered
OAE generated by the cochlea is measured with a microphone
Does not screen for neural hearing loss
Otoacoustic Emissions Hearing Screen
An electrophysiologic measurement that is used to assess auditory function from CR VIII through the auditory brainstem
Clicking sounds are made in earphones
Automated Auditory Brainstem Responses
Goal is to identify rare metabolic disorders before permanent damage is done
metabolic screening
what metabolic screenings do not need parental consent
PKU and MCAD
Unable to metabolize PKU
Build up of metabolites can cause permanent brain damage
PKU
risks for circumcision
Bleeding
Infection
Wound separation
Contraindications for circumcision
Bleeding disorder
Premature/ compromised
GU defects
papular rash surrounding hair follicles presents as 24-72 hrs
Rare after 5 days of life
Clears without treatement
Ertthma neonatorum toxicum
Keratin filled cysts that resolve
Milia
rare phenomenon
One side of body is darker than the other
More common in LBW infants
Harliquin sign
cheesy stuff
lubricated skin in utero
term babies have less
vernnix
congenital blocking of a nare
chonanal artresia
ear deformities are a red flag for what other system
renal
opening of foreskin is small and cannot be retracted
phimosis
non descended testes
cryptorchidism
adduction with gentle pressure downward to fell for displacement of acetabulum
Barlow maneuver
downward hip pressure with gentle abduction
Listen and feel for clicks with hip dislocation
ortolanis maneuver
gluteal folds are what with hip dislocation
asymmetric
simples with tufts of hair significant finding and are associated with
spina bifida
run finger along one side of infants spine
Should curve like a C toward stimuli
Galant reflex
how often should temperature be taken
Q 4 hr X 24 hrs then Q8 hr
