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Module 5 - Infection


Perinatal infections are most likely to cause harm in the _____________ trimester first - organs are developing
Infections occurring after the 1st trimester can result in ______,_______,_______ IUGR, Preterm birth, Neurologic changes
Toxoplasmosis is contracted by drinking _____ milk, _____ feces, and eating _________. unpasteurized goats milk, cat feces, raw or undercooked meat.
True or False Infants born with congenital Rubella are infectious and should be isolated True
True or False a Rubella titer less than 1:8 indicates a susceptibility to rubella. True
True or False A pregnant woman should be vaccinated against Rubella False - Pregnant women should not be vaccinated. Wait until postpartum.
________ is the most frequent cause of viral infection in the human fetus - 85%-90% are asymptomatic the remaining 10%-15% have a wide spectrum of problems including SGE. Blood, brain and liver are most affected. Cytomegalovirus
Infants infected with Herpes simplex virus are treated with ____________ acyclovir
_________is one of the major causes of early-onset neonatal infection GBS
Pregnant women should be screened for GBS at ___to___ weeks gestation 35 to 37
"slapped cheek" rash Human B19 Parvovirus
True or False HIV+ mothers should NOT breast feed True
True or False HIV+ mothers should deliver vaginally if they are on highly active antiretroviral theraphy (HAAART) False - Schedule a C section for 38 week gestation.
Incidence of transmission of HIV from mother to infant has decreased due to the administration of _____ to pregnant mom befor and during labor and then to newborn. ZDV (Retrovir or zidovudine)
ELISA and western blot test for ______________ HIV
Labor that occurs between 20 and 36 weeks is _________ Preterm labor (PTL)
predictors of preterm labor include: (select all that apply) 1) multiple gestation 2) Abnormal cervical length on U/S 3)Abnormal vaginal flora 4)Infection 5)Paternal smoking ALL are predictors.
Use of medication to stop labor is know as ___________ Tocolysis
Women who are candidates for tocolysis are also candidates for ________________. corticosteroids (betamethasone or dexamethasone)
contraindication to magnesium sulfate diagnosed maternal myasthenia gravis
signs of magnesium sulfate toxicity depressed reflexes,oliguria, resp.depression (<12/min) , confusion, hypotension
Often the first sign of magnesium sulfate toxicity loss of reflexes (assess knee jerk)
The antidote for magnesium sulfate is _____ calcium gluconate.
True or False Having UTI's increases your risk for PROM True
An infant born at 30 weeks gestation is a high risk for RDS, necrotizing enterocolitis , intraventricular hemorrhage and sepsis
PROM pits the fetus at risk for impaired gas exchage related to _______________ umbilical cord compression/prolapse
A puerperal is associated with childbirth and can occur __________. up to 6 weeks postpartum
The most common postpartum infection is _______ endometritis
C.Section, PROM, multiple vaginal exams, anemia, smoking, diabetes, forcep delivery are all risk factors for ____________. Postpartum Uterine infection
Purulent, foul smelling lochia classic sign of endometritis
True or False Induration of the perineum is normal after a vaginal delivery False Induration is a hardening and should be reported to clinician immediately.
Essential nutrients for tissue healing and repair protein and Vitamin C
postpartum woman should void within _____hours of delivery or removal of catheter six
___________usually causes the UTI E.Coli
fever, chills, flu-like muscle aches, warm, red area on breast Mastitis
If breast feeding infant has thrush the causitive organism is ________________ Candida Albicans - mom & baby need to be treated to stop cross contamination
True of false Treatment for mastitis includes cool compresses False - warm moist compress, bed rest 24 hours, frequent breastfeeding, supportive bra, NSAIDs, antibiotics
severe grunting and cyanosis, apneic Meconium-stained amniotic fluid seen at birth group B streptococcus
Small cluster vesicular skin lesions over all of body Herpes Type 2
IUGR, jaundice, blueberry muffin spots, poor feeding, deafness Cytomegalovirus (CMV)
White spots inside of infants cheeks Thrush
An infant has a temp less than 36.2C (97.5F)this is a possible sign of _________ infection - normal infant temp is 36.4-37.2 Temp instability (high or low) is sign of infection.
if pregnancy is maintained with a low fluid volume baby may have RDS
2nd cause of neonatal mortality preterm labor
Terbutaline Ritodrine Tocolytics - Beta-mimetics
Nifedipine Tocolytics - Calcium channel blocker
Indocin (indomethacin) Clinoril (sulindac) Celebrex (celecoxib) Tocolytic - Prostaglandin inhibitors:
Magnesium Sulfate Tocolytic
Aids Antibodies found about _______ after exposure using ELISA and Western blot tests 6 months
Asymptomatic period for HIV + may last from mos. to yrs. with ave. length _______. 10 yrs
True or False Auscultating breath sounds is a nursing action for a woman on Magnesium Sulfate therapy True
True or false Having had a previous cesarean section delivery increases the risk for placenta previa with subsequent pregnancies. True
True or False Fetuses exposed to GBS during pregnancy and delivery should be closely monitored for apnea, shock and pneumonia True
failure to empty breasts when breast feeding may lead to Mastitis
Mastitis usually occurs _____________ second to fourth week postpartum
Toxoplasmosis (toxo) and Cryptococcal meningitis affect the ________. brain
CMV affects the _________ eyes, hearing, mental retardation, microcephaly, hydrocephaly - blood, brain, liver. OR may not cause any problems !
Candidiasis (yeast) affects the _________________ mouth
pcp, TB and histoplasmosis affect the ________ lungs
CMV, Cryptosporidiosis, and MAC affect the ____________ gut
Herpes simplex, shingles affect the __________ skin
HPV, Vaginal candidiasis (yeast) and Genital herpes affect the ____________ Genitals
There is no known treatment for ______or ___, but antimicrobial drugs are available for ______________ ,________ , and____ no know treatment for rubella or CMV but antimicrobial drugs work on toxoplasmosis, herpes and GBS
See Slide See Slide
fetal hypoxia ; apgar <6 ;irregular HB clinical manifestations of MAS
Created by: CCBCMDNursing218