Infections in Pregnancy

Question 1

how is chicken pox spread?

Answer 1

repisratory droplets

Question 2

whata re the ysmptoms of chicken pox?

Answer 2

fever

malaise

vesicular rash

Question 3

normally hamrless in children but what is it like in adults?

Answer 3

higer morbidity - hepitatis, pneumonitis, ecephalitis

Question 4

chekcnpox complciates ever 3 in ______ pregnancy

Answer 4

1000

Question 5

small risk of congeital infection if maternal infection is in the first __ weeks of pregnancy

Answer 5

28

Question 6

what occurs in 2% of maternal pregnant chicken pox?

Answer 6

Question 7

significant exposure of varicella infection in pregnant women who is unsure if she is immune - what should you do?

Answer 7

Question 8

what do you do if a pregnant women does develop chicken pox?

Answer 8

Question 9

how is shingles/herpes zoster caused?

Answer 9

chicken pox reactivation which has remainted dorment

Question 10

what is parmavirus b19?

Answer 10

50% of pregnant owmen immune

common illness in children

adults may be susceptible

spread by respiratory secretions

causes fever, erythema and rash

most adults are asymptomatic

no vaccine or treatment

Question 11

what can infection of parmavirus b19 cause in pregnancy?

Answer 11

cardiac failure

hydrops fetalis

foetal death

Question 12

what is toxoplasmosis?

Answer 12

a disease that results from infection with the Toxoplasma gondii parasite, one of the world’s most common parasites. Infection usually occurs by eating undercooked contaminated meat, exposure from infected cat feces, or mother-to-child transmission during pregnancy

afeect 2 per 1000 pregnancies

Question 13

what does toxoplasmosis cause?

Answer 13

asymptomatic

or

mild flu like symptoms e.g. sore throat, fever, arthralgia, coryza

Question 14

whata re the rare complications of toxoplasmosis?

Answer 14

chorioretinitis

encephalitis

myocarditis

pneumonitis

Question 15

congenital infection is rare but can cause what problems?

Answer 15

Question 16

Answer 16

D

Question 17

part 2

Question 18

what is screen for at booking appointment?

Answer 18

hepatitis B, HIV and syphilis

not hepatitis C

Question 19

what may HIV increase the risk of?

Answer 19

Question 20

what are the aims of anti-retroviral treatment (cART)?

Answer 20

Question 21

how is hepatitis B spread?

Answer 21

Vertical transmission: Passage of a disease-causing agent (pathogen) from mother to baby during the period immediately before and after birth

also through blood and other bodily fluids

Question 22

many babies born when the mother have hepatitis B are likely………

Answer 22

to have it

Question 23

women with chornic HBV with a high viral load should be offered what?

Answer 23

tenofovir monotherapy in third triester to reduce risk of tranmission of hepaittis B to the baby

Question 24

can mothers that are pregnant get a hepaittis B vaccine?

Answer 24

yes as it isnt live

Question 25

what should the babies get when born if the mother has hepatitis B?

Answer 25

Question 26

hepatitis C is a ___ virus

Answer 26

RNA

Question 27

how is hepatitis C spread to the baby?

Answer 27

vertical transmission

1 in 20

higher if motther is also infected with HIV

Question 28

what are the indicaitons to offer hepatitis C antenatal screening

Answer 28

Question 29

how is syphilis spread?

Answer 29

Syphilis is a bacterial infection usually spread by sexual contact

caused by the spirochete bacterium Treponema pallidum

Question 30

how cna syphilis be cured?

Answer 30

course of antibiotics

Question 31

can you be infecte dmore than once with syphilis?

Answer 31

yes

Question 32

syphilis is associated with an increased risk of what?

Answer 32

Question 33

most neomates with syphilis are __________ at birth

Answer 33

asymptomatic

develop symptoms in first 5 weeks

Question 34

what is a frequent triad of symptoms found in children with syphilis?

Answer 34