OnlineMedEd: Obstetrics - "Prenatal Infections"

Question 1

Some places screen for GBS at two times. What two times are they?

Answer 1

• 10 weeks

* 35 weeks

Question 2

List three situations that would make you give ampicillin during labor.

Answer 2

• Any positive GBS screen/history
• Prolonged ROM
• Intrapartum fever

Question 3

Which four antibiotics can treat GBS infection?

Answer 3

• Ampicillin
• Cefazolin
• Clindamycin
• Vancomycin

Question 4

Give one example of a person who is GBS positive but does not need intrapartum antibiotics.

Answer 4

Planned c-section without ROM

Question 5

List three treatments for the baby of an HBV positive woman.

Answer 5

• Anti-HBV IG
• Vaccination
• C-section

Question 6

Why are c-sections done in HIV-positive pregnant women?

Answer 6

HIV cannot cross the placenta, so it requires blood-blood mixing. C-sections reduce the risk of blood-blood mixing.

Question 7

The first HIV test you use is ___________, but the best is _____________.

Answer 7

ELISA; western blot

Question 8

What HAART regimens are recommended in pregnancy?

Answer 8

All are “2+1”:
- 2:
• Tenofovir and emtricitabine
•Zidovudine and lanivudine

• 1:
  •Nevirapine
  •Atazanavir

Question 9

If the HIV viral load is greater than _________, then c-section is indicated.

Answer 9

1,000

Question 10

The “board favorite” question: if you don’t know a woman’s HIV status, give _______.

Answer 10

AZT