maternal and newborn

Question 1

TORCH infections = a group
of infections that can cause
complications or congenital
defects if transmitted from
mother to fetus during
pregnancy or childbirth.

Answer 1

T: Toxoplasmosis
O: Other (e.g., HIV,
Hepatitis B, Group B
Streptococcus [GBS])
R: Rubella
C: Cytomegalovirus (CMV)
H: Herpes Simplex Virus
(HSV)

Question 2

Toxoplasmosis (T)gondii from undercooked
meat, contaminated soil,
and cat feces

Answer 2

Newborn risks:
Microcephaly, hydrocephaly
Preventative interventions:
Teach mother to
avoid cat litter and
undercooked meat.
Instruct mother to wash
fruits and vegetables.
Teach mother to use
good hand hygiene
after gardening or
handling raw foods.

Question 3

For clients with HIV, cesarean delivery is
required if the viral load is high,

Answer 3

breastfeeding is contraindicated. If the mother is Hep B positive,
administer HBIG and the hepatitis B vaccine to
newborns within 12 hours of birth. For GBS-positive
or -unknown mothers, administer IV antibiotics
during labor.

Question 4

Rubella vaccine:

Answer 4

Administer the MMR vaccine
postpartum for non-immune mothers. Do not
administer during pregnancy.

Question 5

CMV:

Answer 5

CMV is spread by saliva and urine. Emphasize
the importance of hand hygiene, especially when
around young children, to prevent transmission.

Question 6

Herpes:

Answer 6

Mothers with HSV must deliver by cesarean if active vaginal lesions are present. Avoid breastfeeding
if there are active breast lesions and avoid kissing newborn if there are active mouth lesions.