preconception

Question 1

factors of preconception care

Answer 1

helps women and partners prepare for pregnancy actively
focuses on many environments influencing the family, including social, psychological, spiritual and physical
respects the diversity of people’s lives and experiences
enables women and men to be as healthy as possible, helping them to recognize actual and potential problems

Question 2

active preparation means

Answer 2

• women actively monitors her cycle
• both partners taking care of their health
• women/couple visits physician in order to determine how to conceive

Question 3

why should people be as healthy as possible

Answer 3

• women should be as healthy as possible in order to avoid complications and labor
• it also protects the fetus from any disease, illness or from any birth complications or genetic abnormalities
• helps maintain women’s health in order for it to return to pregnancy state

Question 4

toxoplasmosis

Answer 4

It is a barely noticeable infection in adults; however,
when contracted in pregnancy it can profoundly affect the fetus and
create long-term sequelae for those children. The pregnant woman
may contract the organism by eating raw or undercooked meat, by
drinking unpasteurized goat’s milk, or by contact with the feces of infected
cats, either through the cat litter box or by gardening in areas
frequented by cats.

Question 5

rubella

Answer 5

The period of greatest risk for the teratogenic effects of rubella on the fetus is during the first trimester, when maternal-fetal transmission
occurs in up to 80% of cases of maternal rubella infection Defects are rare when infection develops
after 20 weeks’ gestation
rubella syndrome are congenital cataracts, sensorineural
deafness, and congenital heart defects
Because the vaccine is made with attenuated virus, pregnant
women are not vaccinated. However, it is considered safe for newly
vaccinated children to have contact with pregnant women

Question 6

herpes complex

Answer 6

increase the risk of spontaneous
abortion when infection occurs in the first trimester. Preterm
labor (PTL), intrauterine growth restriction, and neonatal infection
are greater risks if the primary infection occurs late in the second
trimester or early in the third trimester.

Question 7

GBS

Answer 7

leading infectious cause
of neonatal sepsis and mortality. Fortunately, improved recognition
and rapid treatment of infected infants have reduced morbidity and
mortality rates considerably.
may result in unexpected intrapartum stillbirths

Question 8

risk factors for GBS neonatal sepsis

Answer 8

Prematurity
􀁊􀀁 Maternal intrapartum fever
􀁊􀀁 Membranes ruptured for longer than 18 hours
􀁊􀀁 A previously infected infant with GBS disease
􀁊􀀁 GBS bacteriuria in the current pregnancy
􀁊􀀁 Young maternal age
􀁊􀀁 African American or Hispanic race

Question 9

Intrapartum prophylaxis indicated

Answer 9

• Previous infant with invasive GBS disease
• GBS bacteriuria during current pregnancy
• Positive GBS screening culture during current pregnancy
• Unknown GBS status; birth at less than 37 weeks gestation
• Amniotic membrane rupture longer than or equal to 18 hours, intrapartum temperature greater than or equal to 100.4F

Question 10

Intrapartum prophylaxis not indicated

Answer 10

previous pregnancy with positive GBS screening
planned c-section
negative vaginal or rectal GBS screening

Question 11

Chlamydia

Answer 11

fetal outcomes: -	conjunctivitis
-	pneumonia
-	premature labor
-	fetal death
modes of transmission: -	blood
-	body fluids
-	sexual contact

Question 12

gonorrhea

Answer 12

• blood
• body fluid
• sexual contact
• opthalmia neonatorum