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Reproductive > Exam 3 part 4 > Flashcards

Exam 3 part 4 Flashcards

1
Q

Transmitted primarily though sexual contact
Spread by direct contact with blood and body fluids
Perinatal transmission to fetus

A

Hepatitis B

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2
Q

is an RNA virus
Spread by contact with blood or blood contaminated item can spread sexually as well
Leading indication for liver transplant

A

Hepatits C

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3
Q

new borns should not be tested for hep c prior to

A

18 months of age

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4
Q

treatment for HIV

A

highly active anti-retroviral therapy HAART

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5
Q

if viral load >1000 copies baby will be delivered

A

by scheduled c section

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6
Q

viral load > 1000 copies mother will be given

A

Zidovudine IV 4 hours prior to c section

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7
Q

if viral load

A

vaginally

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8
Q

viral load

A

Zidovudine IV during labor and oral antivirals will be continued

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9
Q

treat baby born to HIV mother with

A

Zidovudine after delivery and continue for 6 weeks

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10
Q

medication for herpes simplex I

A

acycolvir (Zovirax)

Valacyclovir (valtrex)

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11
Q

S and S of Herpes simplex II in the 3rd trimester

A

Neonatal HSV infection
IUGR
Prematurity

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12
Q

visible genital warts are caused by HPV types

A

6 and 11

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13
Q

HPV types that usually cause cervical neoplasia

A 
16
18
31
33
35
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14
Q

when there are condyloma the babies has a increased risk of

A

laryngeal papillomatosis or recurrent respiratory papillomatosis RRP

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15
Q

drug of choice for pelvic inflammatory disease

A

Ceftriaxone 250 mg IM

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16
Q

s and s baby born while mom has pelvic inflammatory disease

A

LBW
Ophthalmia
neonatorum
pneumonia

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17
Q

S and S of vulvovaginal candidiasis

A

pruritus
Vulvar erythemia
+/- discharge

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18
Q

VULVOVAGINAL CANDIDIASIS IS ASSOCIATED WITH

A

pregnancy
DM
antibiotic therapy

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19
Q

treat vulvovaginal candidiasis with

A

antifungals (Diflucan or Fluconazole)

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20
Q

treatment for bacterial vaginosis

A

metronidazole 500 mg

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21
Q

treatment for uncomplicated UTI

A

Kefelex 250 mg Q6h 7 days

Nitrofurantoin (macrobid) 100 mg PO BID 7 days

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22
Q

treatment for gonorrhea

A

ceftriaxone 250 mg IM

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23
Q

Side effects of gonorrhea in pregnancy

A

PTL

PROM

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24
Q

chlamydia causes the uterus to be

A

Mucopurulent

Edematous

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25
Q

treatment for chlamydia

A

Azithromycin 1 gm PO single dose
Doxycycline 100 mg PO BID 7 days (do not give during pregnancy)
Amoxicillin 500 mg

26
Q

feta/ newborn issues when mom has chlamydia

A

Ophthalmia neionatorum

chlaymydial pneumonia

27
Q

fourfold increase =

A

current infection

28
Q

fourfold decrease =

A

adequate treatment

29
Q

when should women being tested for syphilis during pregnancy

A

early and then again at 28 weeks

30
Q

problems seen in fetal/newborn babies with syphilis

A 
Non-immune hydrops
Jaundice
Hepatosplenomegaly 
Rhinitis
skin rash
Pseudoparalysis of an extremity
31
Q

disease associated with strawberry cervix

A

trichomoniasis

32
Q

treatment for trichomoniasis

A

Metronidazole 2 gm PO

33
Q

fetal and newborn issues with trichomoniasis

A

preterm birth

LBW

34
Q

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

A

Erythromycin ointment

35
Q

Side effects of erythromycin ointment

A

Sensitivity reaction
Edema
Inflammation
Blurry vision

36
Q

how much vitamin k is give

A

0.5-1mg IM vastus lateralis thigh muscle

37
Q

Side effects of vitamin K

A

Pain
Edema
allergic reaction

38
Q

when does the Hep B vaccine count towards the three part series

A

> 2500 grams

39
Q

how long should you wait before doing the newborn hearing screen

A

48-72 hours

40
Q

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

A

Otoacoustic Emissions Hearing Screen

41
Q

An electrophysiologic measurement that is used to assess auditory function from CR VIII through the auditory brainstem
Clicking sounds are made in earphones

A

Automated Auditory Brainstem Responses

42
Q

Goal is to identify rare metabolic disorders before permanent damage is done

A

metabolic screening

43
Q

what metabolic screenings do not need parental consent

A

PKU and MCAD

44
Q

Unable to metabolize PKU

Build up of metabolites can cause permanent brain damage

A

PKU

45
Q

risks for circumcision

A

Bleeding
Infection
Wound separation

46
Q

Contraindications for circumcision

A

Bleeding disorder
Premature/ compromised
GU defects

47
Q

papular rash surrounding hair follicles presents as 24-72 hrs
Rare after 5 days of life
Clears without treatement

A

Ertthma neonatorum toxicum

48
Q

Keratin filled cysts that resolve

A

Milia

49
Q

rare phenomenon
One side of body is darker than the other
More common in LBW infants

A

Harliquin sign

50
Q

cheesy stuff
lubricated skin in utero
term babies have less

A

vernnix

51
Q

congenital blocking of a nare

A

chonanal artresia

52
Q

ear deformities are a red flag for what other system

A

renal

53
Q

opening of foreskin is small and cannot be retracted

A

phimosis

54
Q

non descended testes

A

cryptorchidism

55
Q

adduction with gentle pressure downward to fell for displacement of acetabulum

A

Barlow maneuver

56
Q

downward hip pressure with gentle abduction

Listen and feel for clicks with hip dislocation

A

ortolanis maneuver

57
Q

gluteal folds are what with hip dislocation

A

asymmetric

58
Q

simples with tufts of hair significant finding and are associated with

A

spina bifida

59
Q

run finger along one side of infants spine

Should curve like a C toward stimuli

A

Galant reflex

60
Q

how often should temperature be taken

A

Q 4 hr X 24 hrs then Q8 hr

Reproductive (19 decks)

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