Infections in Pregnancy

Question 1

This condition presents with thin, greyish white discharge that can have a fishy odor & is diagnosed with clue cells. What is the condition and what are the screening recommendations in pregnant persons?

Answer 1

Bacterial vaginosis
Don’t screen if asymptomatic

Question 2

This condition is not an STI but can colonize the genital area and cause serious complications in pregnancy?

Answer 2

Group B strep

Question 3

Fetal complications like pneumonia, meningitis, and sepsis are caused by what organism?

Answer 3

GBS

Question 4

When is it appropriate to screen for group B strep?

Answer 4

35-37 weeks

Question 5

If a pregnant persons UA results show 10^5 of GBS this indicates what and does it require treatment?

Answer 5

• indicates heavy colonization ( or GBS bacteriuria) that ascended to bladder
• Treat this if asymptomatic or symptomatic;

Question 6

if dx with GBS <35 weeks, when do we treat?

Answer 6

At time of dx & again at labor no matter what

Question 7

When do we use intrapartum prophylaxis (3 indications)?

Answer 7

• Positive urine culture at any point in pregnancy
• Positive test at 35-37 weeks screening
• Prior infant with GBS

Question 8

How do we treat GBS in pregnant people?

Answer 8

Penicillin G or Ampicillin

Question 9

What are the 6 infections in pregnancy that are teratogenic?

Answer 9

1. Cytomegalovirus (CMV)
2. HSV
3. Rubella
4. Toxoplasmosis (cat skin)
5. Varicella
6. Zika

Question 10

If a patient has HSV, when is it appropriate to provide suppressive therapy?

Answer 10

36 weeks and until birth

Question 11

If a patient has active HSV genital lesions and goes into labor, how should you proceed?

Answer 11

C-section to avoid giving it to baby

Question 12

This infection can cause vision, hearing, and heart defects to the fetus; mother should get vaccinated 3 months prior to conception if possible (no earlier)?

Answer 12

Rubella

Question 13

This infection causes limb hypoplasia, microcephaly, and mortality in fetuses?

Answer 13

Varicella

Question 14

What can a varicella infection cause in a pregnant person that is fatal and how is it treated?

Answer 14

varicella pneumonia
treat with antivirals

Question 15

This infection is commonly asymptomatic, but can present with fever, chills, and lymphadenopathy in the pregnant person?

Answer 15

toxoplasmosis

Question 16

the most common fetal complication from this infection is retinochoroiditis?

Answer 16

toxoplasmosis

Question 17

Neural defects, sensorineural hearing loss before age 3, and a neonatal petechial rash is caused by what infection?

Answer 17

CMV

Question 18

What three conditions are always screened for in pregnancy?

Answer 18

HIV, Syphilis, HEP C

Question 19

What vaccinations are safe for pregnant people?

Answer 19

TDAP
Covid 19
Influenza - dead virus

Question 20

What virus is usually passed during labor and can be halted in fetus if give immunoglobulin after birth?

Answer 20

Hep B

Question 21

This infection is usually passed to the fetus via amniotic puncture or breastfeeding?

Answer 21

Hep C

Question 22

This infection is transmitted to the fetus via the placenta in the second half of pregnancy?

Answer 22

Syphilis

Question 23

What infection can cause stillbirth, hydrops fetalis, Hutchinson’s teeth, mortality, and saddle nose in the fetus?

Answer 23

syphilis

Question 24

When do we test pregnant people for syphilis?

Answer 24

28-32 weeks and at delivery

Question 25

This infection can come from bugs or sexual contact, and causes hydrocephaly and abnormal brain development in fetuses?

Answer 25

Zika

Question 26

What infection causes the biggest risk for the pregnant person and not the fetus?

Answer 26

Influenza