Exam 3 part 4

Question 1

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

Answer 1

Hepatitis B

Question 2

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

Answer 2

Hepatits C

Question 3

new borns should not be tested for hep c prior to

Answer 3

18 months of age

Question 4

treatment for HIV

Answer 4

highly active anti-retroviral therapy HAART

Question 5

if viral load >1000 copies baby will be delivered

Answer 5

by scheduled c section

Question 6

viral load > 1000 copies mother will be given

Answer 6

Zidovudine IV 4 hours prior to c section

Question 7

if viral load

Answer 7

vaginally

Question 8

viral load

Answer 8

Zidovudine IV during labor and oral antivirals will be continued

Question 9

treat baby born to HIV mother with

Answer 9

Zidovudine after delivery and continue for 6 weeks

Question 10

medication for herpes simplex I

Answer 10

acycolvir (Zovirax)

Valacyclovir (valtrex)

Question 11

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

Answer 11

Neonatal HSV infection
IUGR
Prematurity

Question 12

visible genital warts are caused by HPV types

Answer 12

6 and 11

Question 13

HPV types that usually cause cervical neoplasia

Answer 13

16
18
31
33
35

Question 14

when there are condyloma the babies has a increased risk of

Answer 14

laryngeal papillomatosis or recurrent respiratory papillomatosis RRP

Question 15

drug of choice for pelvic inflammatory disease

Answer 15

Ceftriaxone 250 mg IM

Question 16

s and s baby born while mom has pelvic inflammatory disease

Answer 16

LBW
Ophthalmia
neonatorum
pneumonia

Question 17

S and S of vulvovaginal candidiasis

Answer 17

pruritus
Vulvar erythemia
+/- discharge

Question 18

VULVOVAGINAL CANDIDIASIS IS ASSOCIATED WITH

Answer 18

pregnancy
DM
antibiotic therapy

Question 19

treat vulvovaginal candidiasis with

Answer 19

antifungals (Diflucan or Fluconazole)

Question 20

treatment for bacterial vaginosis

Answer 20

metronidazole 500 mg

Question 21

treatment for uncomplicated UTI

Answer 21

Kefelex 250 mg Q6h 7 days

Nitrofurantoin (macrobid) 100 mg PO BID 7 days

Question 22

treatment for gonorrhea

Answer 22

ceftriaxone 250 mg IM

Question 23

Side effects of gonorrhea in pregnancy

Answer 23

PTL

PROM

Question 24

chlamydia causes the uterus to be

Answer 24

Mucopurulent

Edematous

Question 25

treatment for chlamydia

Answer 25

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

Question 26

feta/ newborn issues when mom has chlamydia

Answer 26

Ophthalmia neionatorum | chlaymydial pneumonia

Question 27

fourfold increase =

Answer 27

current infection

Question 28

fourfold decrease =

Answer 28

adequate treatment

Question 29

when should women being tested for syphilis during pregnancy

Answer 29

early and then again at 28 weeks

Question 30

problems seen in fetal/newborn babies with syphilis

Answer 30

``` Non-immune hydrops Jaundice Hepatosplenomegaly Rhinitis skin rash Pseudoparalysis of an extremity ```

Question 31

disease associated with strawberry cervix

Answer 31

trichomoniasis

Question 32

treatment for trichomoniasis

Answer 32

Metronidazole 2 gm PO

Question 33

fetal and newborn issues with trichomoniasis

Answer 33

preterm birth | LBW

Question 34

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

Answer 34

Erythromycin ointment

Question 35

Side effects of erythromycin ointment

Answer 35

Sensitivity reaction Edema Inflammation Blurry vision

Question 36

how much vitamin k is give

Answer 36

0.5-1mg IM vastus lateralis thigh muscle

Question 37

Side effects of vitamin K

Answer 37

Pain Edema allergic reaction

Question 38

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

Answer 38

>2500 grams

Question 39

how long should you wait before doing the newborn hearing screen

Answer 39

48-72 hours

Question 40

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

Answer 40

Otoacoustic Emissions Hearing Screen

Question 41

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

Answer 41

Automated Auditory Brainstem Responses

Question 42

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

Answer 42

metabolic screening

Question 43

what metabolic screenings do not need parental consent

Answer 43

PKU and MCAD

Question 44

Unable to metabolize PKU | Build up of metabolites can cause permanent brain damage

Answer 44

PKU

Question 45

risks for circumcision

Answer 45

Bleeding Infection Wound separation

Question 46

Contraindications for circumcision

Answer 46

Bleeding disorder Premature/ compromised GU defects

Question 47

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

Answer 47

Ertthma neonatorum toxicum

Question 48

Keratin filled cysts that resolve

Answer 48

Milia

Question 49

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

Answer 49

Harliquin sign

Question 50

cheesy stuff lubricated skin in utero term babies have less

Answer 50

vernnix

Question 51

congenital blocking of a nare

Answer 51

chonanal artresia

Question 52

ear deformities are a red flag for what other system

Answer 52

renal

Question 53

opening of foreskin is small and cannot be retracted

Answer 53

phimosis

Question 54

non descended testes

Answer 54

cryptorchidism

Question 55

adduction with gentle pressure downward to fell for displacement of acetabulum

Answer 55

Barlow maneuver

Question 56

downward hip pressure with gentle abduction | Listen and feel for clicks with hip dislocation

Answer 56

ortolanis maneuver

Question 57

gluteal folds are what with hip dislocation

Answer 57

asymmetric

Question 58

simples with tufts of hair significant finding and are associated with

Answer 58

spina bifida

Question 59

run finger along one side of infants spine | Should curve like a C toward stimuli

Answer 59

Galant reflex

Question 60

how often should temperature be taken

Answer 60

Q 4 hr X 24 hrs then Q8 hr