Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Module 5 - Infection
Infection
| Question | Answer |
|---|---|
| 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
Popular Nursing sets