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Questions and Answers
What is a common treatment approach for a mother infected with gonorrhea during pregnancy?
What is a common treatment approach for a mother infected with gonorrhea during pregnancy?
What symptom is least likely to be present in cases of gonorrhea?
What symptom is least likely to be present in cases of gonorrhea?
What potential effect can AIDS have on a fetus/newborn?
What potential effect can AIDS have on a fetus/newborn?
Which management practice should NOT be included for a mother living with HIV?
Which management practice should NOT be included for a mother living with HIV?
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How is HIV transmitted from mother to fetus?
How is HIV transmitted from mother to fetus?
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Which of the following is NOT a typical effect of Toxoplasmosis on the fetus or newborn?
Which of the following is NOT a typical effect of Toxoplasmosis on the fetus or newborn?
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What is one of the recommended management steps for a woman diagnosed with rubella during pregnancy?
What is one of the recommended management steps for a woman diagnosed with rubella during pregnancy?
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What is a common complication of Chlamydia Trichomoniasis for the newborn?
What is a common complication of Chlamydia Trichomoniasis for the newborn?
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During which time period should a woman not receive the rubella vaccine post-delivery?
During which time period should a woman not receive the rubella vaccine post-delivery?
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What is the first step in managing Chlamydia Trichomoniasis during pregnancy?
What is the first step in managing Chlamydia Trichomoniasis during pregnancy?
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Which treatment is typically administered for Chlamydia during pregnancy?
Which treatment is typically administered for Chlamydia during pregnancy?
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Which symptom is not associated with Herpes Genitalis?
Which symptom is not associated with Herpes Genitalis?
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What are some of the effects of rubella on the fetus?
What are some of the effects of rubella on the fetus?
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Which of the following management strategies is NOT recommended for a woman diagnosed with viral hepatitis during pregnancy?
Which of the following management strategies is NOT recommended for a woman diagnosed with viral hepatitis during pregnancy?
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What is the purpose of administering immunoglobulin to infants born to HbsAg positive mothers?
What is the purpose of administering immunoglobulin to infants born to HbsAg positive mothers?
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What dietary recommendation is included in the management of viral hepatitis for pregnant women?
What dietary recommendation is included in the management of viral hepatitis for pregnant women?
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What is one of the first actions to take in the management of a pregnant woman with viral hepatitis?
What is one of the first actions to take in the management of a pregnant woman with viral hepatitis?
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What is the clinical significance of abnormal serum bilirubin levels in pregnant women with viral hepatitis?
What is the clinical significance of abnormal serum bilirubin levels in pregnant women with viral hepatitis?
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Which of the following statements regarding bed rest for women with viral hepatitis is accurate?
Which of the following statements regarding bed rest for women with viral hepatitis is accurate?
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Which symptom is NOT associated with viral hepatitis during pregnancy?
Which symptom is NOT associated with viral hepatitis during pregnancy?
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What preventive measure is crucial for fetal congenital syphilis during pregnancy?
What preventive measure is crucial for fetal congenital syphilis during pregnancy?
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Flashcards
ESR (erythrocyte sedimentation rate)
ESR (erythrocyte sedimentation rate)
A blood test measuring how quickly red blood cells settle in a sample. Often elevated in inflammation.
Viral Hepatitis during Pregnancy
Viral Hepatitis during Pregnancy
Hepatitis A, B, and C can affect a pregnant woman and potentially harm the developing fetus.
Diagnosis of Hepatitis
Diagnosis of Hepatitis
Blood tests (antibodies, bilirubin) and physical exam are used to diagnose.
Management of Viral Hepatitis (Mother)
Management of Viral Hepatitis (Mother)
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Moniliasis in pregnancy (Thrush)
Moniliasis in pregnancy (Thrush)
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Trichomoniasis diagnosis
Trichomoniasis diagnosis
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Syphilis during pregnancy risks
Syphilis during pregnancy risks
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Syphilis Prevention during Pregnancy
Syphilis Prevention during Pregnancy
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Toxoplasmosis Cause
Toxoplasmosis Cause
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Toxoplasmosis Transmission
Toxoplasmosis Transmission
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Toxoplasmosis Fetal Effects
Toxoplasmosis Fetal Effects
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Rubella Transmission
Rubella Transmission
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Congenital Rubella Syndrome
Congenital Rubella Syndrome
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Chlamydia Symptoms
Chlamydia Symptoms
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Chlamydia Maternal Effects
Chlamydia Maternal Effects
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Herpes Genitalis Symptoms
Herpes Genitalis Symptoms
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Gonorrhea cause
Gonorrhea cause
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Gonorrhea effect on mother
Gonorrhea effect on mother
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HIV Transmission
HIV Transmission
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AIDS effect on newborn
AIDS effect on newborn
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AIDS Treatment
AIDS Treatment
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Study Notes
Nursing Care of Women with High Risk Pregnancy
- This presentation covers nursing care for women experiencing high-risk pregnancies.
Sexual Transmitted Diseases Infections in Pregnancy
- Toxoplasmosis: Caused by the protozoan toxoplasma gondi, transmitted through raw meat, unpasteurized goat milk, or cat feces.
Effects of Toxoplasmosis
- Pregnant woman: Spontaneous abortion.
- Fetus/newborn: Microcephaly, hydrocephaly, chorioretinitis, hepatosplenomegaly, jaundice, mental retardation.
Investigations
- TORCH screening:
- Toxoplasmosis.
- Others (hepatitis B, HIV, Chlamydia, Varicella).
- Rubella.
- Cytomegalovirus.
- Herpes simplex.
- Blood serum study for high antibodies and toxoplasma gondi.
- Indirect immunofluorescent test to diagnose toxoplasmosis.
Rubella
- Caused by the rubella virus.
- Effects on fetus/newborn:
- Fetal death.
- Low birth weight.
- Congenital rubella syndrome (deafness, cataract, jaundice, purpura, hepatosplenomegaly, congenital heart diseases, or mental retardation).
Assessment and Management
- Assessment: Personal history, virological tests.
- Management:
- Early diagnosis may lead to pregnancy termination options.
- Informing the pregnant woman about the disease's impact on pregnancy.
- Vaccination within the first week after delivery to prevent future complications.
- Counseling on birth spacing methods for three months after vaccination.
- Avoidance of rubella vaccination during pregnancy.
Chlamydia Trichomoniasis
- Signs and symptoms: Mucopurulent vaginal discharge, abdominal pain, frequent urination, dysuria.
- Effects on mother: Salpingitis, cervicitis, vulvitis, secondary infertility.
- Effects on newborn: Conjunctivitis, ophthalmia neonatorum, blindness due to corneal scarring, and upper respiratory tract infection.
- Management: Good hygiene practices, erythromycin 500mg BD during pregnancy, treatment of the husband.
Herpes Genitalis
- Caused by herpes simplex virus.
- Signs and symptoms: Close-packed vesicles, severe dysuria, retention of urine, enlarged and tender inguinal lymph nodes, mild fever, severe pain due to nerve involvement.
- Diagnosis: ESR (erythro sedimentation rate), clinical examination of vesicles and enlarged lymph nodes.
- Management: Bed rest, keeping the lesion clean, analgesics for pain relief, antiviral agent (acyclovir), preventing secondary infection, avoidance of recurrence.
Viral Hepatitis
- Hepatitis A, B, and C are serious pregnancy complications.
- Signs and symptoms: Low fever, general malaise, anorexia, abdominal pain, nausea and vomiting, jaundice.
- Effects on mother: Postpartum hemorrhage, hepatic coma.
- Effects on fetus: Abortion, preterm birth, intrauterine death.
- Diagnosis: Blood screening for antibodies HBsAg, serum bilirubin, clinical examination.
- Management: Isolation of the woman (especially in labor), bed rest until bilirubin levels normalize, high-calorie, easily digestible diet, vitamin K injection before labor onset, prophylactic oxytocin, hepatitis B immunoglobulin to newborn.
Moniliasis
- Caused by Candida Albicans.
- Signs and symptoms: White, crusted vaginal discharge, dysuria, severe itching, dyspareunia.
- Diagnosis: Presence of hyphae and spores in vaginal smears.
- Effects on pregnancy: Fetus may contract thrush during vaginal delivery.
- Management: Intravaginal insertion of clotrimazole suppositories at bedtime for one week.
Trichomoniasis
- Caused by Trichomonas vaginalis.
- Signs and symptoms: Frothy, greenish-gray vaginal discharge, pruritus, urinary symptoms (dysuria, frequent urination).
- Diagnosis: Motile flagellated trichomonads on vaginal smears.
- Management: Antibiotics prescribed for both the woman and husband.
Syphilis
- Caused by Treponema pallidum.
- Effects on pregnancy: Abortion, preterm delivery, prenatal death (20%).
- Prevention: Identifying and treating infected mothers during pregnancy.
- Treatment: Antibiotics for both mother and infant, if necessary.
Gonorrhea
- Caused by Neisseria Gonorrhoeae.
- Effects on mother: Risk of septic infection, chorioamnionitis, premature delivery, premature rupture of membranes.
- Effects on fetus/newborn: Intrauterine growth retardation, ophthalmia neonatorum.
AIDS (Acquired Immune Deficiency Syndrome)
- Caused by Human Immunodeficiency Virus (HIV).
- Effects on mother: Premature rupture of the membranes, postpartum endometritis, high incidence of infectious diseases.
- Effects on fetus/newborn: Fetal death, preterm birth, low birth weight, HIV infection.
- Diagnosis: Blood test for HIV presence.
- Management: Treating infections, high-protein, high-calorie diet, antiretroviral therapy, spiritual care, and social support.
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Description
Test your knowledge on the management of sexually transmitted infections (STIs) during pregnancy. This quiz covers various conditions such as gonorrhea, chlamydia, HIV, and rubella, and their potential effects on both the mother and fetus. Understand recommended practices and treatments for a healthier pregnancy.
