Infection
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| Perinatal infections are most likely to cause harm in the _____________ trimester | first - organs are developing
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| Infections occurring after the 1st trimester can result in ______,_______,_______ | IUGR, Preterm birth, Neurologic changes
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| Toxoplasmosis is contracted by drinking _____ milk, _____ feces, and eating _________. | unpasteurized goats milk, cat feces, raw or undercooked meat.
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| True or False Infants born with congenital Rubella are infectious and should be isolated | True
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| True or False a Rubella titer less than 1:8 indicates a susceptibility to rubella. | True
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| True or False A pregnant woman should be vaccinated against Rubella | False - Pregnant women should not be vaccinated. Wait until postpartum.
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| ________ 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
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| Infants infected with Herpes simplex virus are treated with ____________ | acyclovir
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| _________is one of the major causes of early-onset neonatal infection | GBS
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| Pregnant women should be screened for GBS at ___to___ weeks gestation | 35 to 37
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| "slapped cheek" rash | Human B19 Parvovirus
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| True or False HIV+ mothers should NOT breast feed | True
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| 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.
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| 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)
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| ELISA and western blot test for ______________ | HIV
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| Labor that occurs between 20 and 36 weeks is _________ | Preterm labor (PTL)
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| 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.
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| Use of medication to stop labor is know as ___________ | Tocolysis
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| Women who are candidates for tocolysis are also candidates for ________________. | corticosteroids (betamethasone or dexamethasone)
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| contraindication to magnesium sulfate | diagnosed maternal myasthenia gravis
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| signs of magnesium sulfate toxicity | depressed reflexes,oliguria, resp.depression (<12/min) , confusion, hypotension
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| Often the first sign of magnesium sulfate toxicity | loss of reflexes (assess knee jerk)
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| The antidote for magnesium sulfate is _____ | calcium gluconate.
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| True or False Having UTI's increases your risk for PROM | True
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| An infant born at 30 weeks gestation is a high risk for | RDS, necrotizing enterocolitis , intraventricular hemorrhage and sepsis
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| PROM pits the fetus at risk for impaired gas exchage related to _______________ | umbilical cord compression/prolapse
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| A puerperal is associated with childbirth and can occur __________. | up to 6 weeks postpartum
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| The most common postpartum infection is _______ | endometritis
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| C.Section, PROM, multiple vaginal exams, anemia, smoking, diabetes, forcep delivery are all risk factors for ____________. | Postpartum Uterine infection
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| Purulent, foul smelling lochia | classic sign of endometritis
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| 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.
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| Essential nutrients for tissue healing and repair | protein and Vitamin C
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| postpartum woman should void within _____hours of delivery or removal of catheter | six
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| ___________usually causes the UTI | E.Coli
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| fever, chills, flu-like muscle aches, warm, red area on breast | Mastitis
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| If breast feeding infant has thrush the causitive organism is ________________ | Candida Albicans - mom & baby need to be treated to stop cross contamination
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| True of false Treatment for mastitis includes cool compresses | False - warm moist compress, bed rest 24 hours, frequent breastfeeding, supportive bra, NSAIDs, antibiotics
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| severe grunting and cyanosis, apneic Meconium-stained amniotic fluid seen at birth | group B streptococcus
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| Small cluster vesicular skin lesions over all of body | Herpes Type 2
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| IUGR, jaundice, blueberry muffin spots, poor feeding, deafness | Cytomegalovirus (CMV)
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| White spots inside of infants cheeks | Thrush
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| 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.
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| if pregnancy is maintained with a low fluid volume baby may have | RDS
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| 2nd cause of neonatal mortality | preterm labor
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| Terbutaline Ritodrine | Tocolytics - Beta-mimetics
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| Nifedipine | Tocolytics - Calcium channel blocker
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| Indocin (indomethacin) Clinoril (sulindac) Celebrex (celecoxib) | Tocolytic - Prostaglandin inhibitors:
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| Magnesium Sulfate | Tocolytic
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| Aids Antibodies found about _______ after exposure using ELISA and Western blot tests | 6 months
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| Asymptomatic period for HIV + may last from mos. to yrs. with ave. length _______. | 10 yrs
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| True or False Auscultating breath sounds is a nursing action for a woman on Magnesium Sulfate therapy | True
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| True or false Having had a previous cesarean section delivery increases the risk for placenta previa with subsequent pregnancies. | True
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| True or False Fetuses exposed to GBS during pregnancy and delivery should be closely monitored for apnea, shock and pneumonia | True
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| failure to empty breasts when breast feeding may lead to | Mastitis
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| Mastitis usually occurs _____________ | second to fourth week postpartum
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| Toxoplasmosis (toxo) and Cryptococcal meningitis affect the ________. | brain
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| CMV affects the _________ | eyes, hearing, mental retardation, microcephaly, hydrocephaly - blood, brain, liver. OR may not cause any problems !
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| Candidiasis (yeast) affects the _________________ | mouth
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| pcp, TB and histoplasmosis affect the ________ | lungs
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| CMV, Cryptosporidiosis, and MAC affect the ____________ | gut
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| Herpes simplex, shingles affect the __________ | skin
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| HPV, Vaginal candidiasis (yeast) and Genital herpes affect the ____________ | Genitals
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| 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
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| See Slide | See Slide
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| fetal hypoxia ; apgar <6 ;irregular HB | clinical manifestations of MAS
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