Module 9 (Exam 3) Independent Study 2

Question 1

Zidovudine (AZT)

Answer 1

Given for HIV infection (dyad, mother & neonate individually)

Question 2

Acyclovir (Zovirax)

Answer 2

Antiviral medication

• Baby with Herpes
• Varicella-Zoster pneumonia in the neonate

Question 3

Miconazole (Monistat)

Answer 3

Used to treat infections involving yeast.

• Candidiasis

Question 4

Metronidazole (Flagyl)

Answer 4

Used to treat:

• Bacterial Vaginosis
• Trichomoniasis

Question 5

Varicella-Zoster Immune Globulin (VZIG)

Answer 5

Chicken pox

Will treat infant infected 5 days before birth up to 2 days after birth.

Actual vaccine is a live, attenuated virus - do not give during pregnancy. Avoid pregnancy 28 days after vaccination

Question 6

What are the five principles of teratogenic action?

Answer 6

1. The period of organogenesis (weeks 2-8) is also the period of greatest vulnerability to tertogenic action.
2. Greater potency and greater exposure to a teratogenic agent present greater potential for fetal injury.
3. Exposure to specific teratogens correlates with specific fetal injury.
4. Genetic pre-disposition to a congenital anomaly may increase potential impact of a teratogen.
5. Infectious agents may harm a developing fetus even without evidence of maternal illness.

Question 7

Define Fetal Alcohol Spectrum Disorder (FASD)

Answer 7

Syndrome caused by maternal alcohol ingestion: characterized by cognitive delays, microcephaly, intrauterine growth restriction, short palpebral fissures, and maxillary hypoplasia

Question 8

Factors contributing to adolescent pregnancy

Answer 8

1. Socioeconomic issues
2. Cultural factors
3. High-risk behaviors
4. Psychosocial and self-esteem factors

Question 9

Physiologic risks for pregnant adolescents

Answer 9

• Iron deficient anemia
• Preterm birth
• Low birth weight
• Cephalopelvic disproportion
• Preeclampsia and eclampsia
• Also: HIV, nutritional defiencies, STDs

Question 10

Psycological risks associated with adolescent pregnancy

Answer 10

• Interruption in the progress of maternal developmental needs
• Increased risk for depression

Question 11

Sociologic risks of the adolescent mother

Answer 11

• Higher risk for social and economic disadvantage

Question 12

Nutrtional concerns for the adolescent patient

Answer 12

1. Potential for increased caloric intake to allow for both maternal and fetal growth
2. Irregular eating patterns
3. Adequate intake of essential nutrients

Question 13

What nutrients are more likely to be inadequate of the adolescent patient?

Answer 13

1. Iron
2. Calcium
3. Protein
4. Folic acid

Question 14

Primary Prevention (care of adolescent maternity patient)

Answer 14

Strategies implemented to avoid development of a disease process or threat to wellness

1. Screening
2. Immunization
3. In-school clinics
4. Nurtritional counseling

Question 15

Secondary Prevention (care of adolescent maternity patient)

Answer 15

Early diagnosis and treatment of an existing disease process in the asymptomatic or early stages, before significant morbidity occurs

1. Early prenatal care
2. Referral for supportive care

Question 16

Tertiary Prevention (care of the adolescent maternity patient)

Answer 16

Initiation of treatment to reduce the negative impact of a disease process of threat to wellness and/or restore optimal functioning

1. Tutoring during pregnancy
2. Young Mothers’ Support Group
3. Day care services