Acquired Causes

Question 1

Acquired causes can be (3)

Answer 1

Prenatal
Perinatal
Postnatal

Question 2

Most prenatal causes are:

Answer 2

Infections

Question 3

Types of prenatal infexns (4)

Answer 3

Herpes
Rubella
Syphillis
Cytamegalovirus
Toxoplasmosis

Question 4

Most infections cause severe damage during the first __ weeks

Answer 4

8

Question 5

This infexn causes deafness, micropthalmia, cataracts, anemia & thrombocytopenia

Answer 5

Rubella

Question 6

If the rubella infexn is in the first trimester, the child has an __% chance of being affected. If after, the child has a __% chance.

Answer 6

80

25

Question 7

4 Reasons pregnant women still get Rubella.

Answer 7

Vaccine failure
Not immunized
Missed Vaccine
Immigrants

Question 8

T/F Pregnant women can be vaccinated for Rubella

Answer 8

FALSE - and don’t conceive for 3 months following

Question 9

Cytomegalovirus is AKA (3 Types)

Answer 9

Herpes!
HS1/2
Varicella Zoster

Question 10

A fetus infected w/ cytomegalovirus may have what symptoms?

Answer 10

Enlarged spleen/liver

Question 11

If a woman has herpes in vaginus or cervix, baby can acquire:

Answer 11

Neonatal Herpes

Question 12

Symptoms of neonatal herpes?

Answer 12

Encephalitis & Brain damage

Question 13

Toxoplasmosis is caused by a parasite called

Answer 13

Toxoplasma Gondii

Question 14

Toxoplasmosis can be acquired from what sources?

Answer 14

Cat litter
Undercooked meat
Unpasteurized goat’s milk
Cockroaches

Question 15

What meats can result in toxoplasmosis?

Answer 15

Venison
Lamb
Pork
Beef

Question 16

In addition to causing ID, fetal symptoms of toxoplasmosis include: (4 - HERS)

Answer 16

Hydrocephalus
Seizures/Spasticity
Rash
Enlarged liver/spleen/lymph

Question 17

Pregnant women should also avoid playing in these (natures litter box)

Answer 17

Sandbox

Question 18

Exposure to this causes malformation in fetus

Answer 18

Radiation (Teratogen)

Question 19

4 Toxins which may effect fetal development

Answer 19

Alcohol
Lead
Thalidomide
Anticonvulsants & Cancer Drugs

Question 20

Two anticonvulsants that may contribute

Answer 20

Phenytoin

Phenobarbital

Question 21

Anticonvulsants have what effects on fetus (4) FHM

Answer 21

Facial/Limb malformation
Heart lesions
Microcephaly
ID

Question 22

A defect which occurs during first month of pregnancy, before this has had a chance to close.

Answer 22

Neural Tube Defect

Neural Tube

Question 23

Major forms of NTD

Answer 23

Spina Bifida

Anencephaly

Question 24

What 2 factors contribute to NTD?

Answer 24

Genetic

Environmental

Question 25

Cultural group @ risk for NTD

Answer 25

English-Irish (Caucasian)

Question 26

4 Risk factors for NTD

Answer 26

Non-balanced diet (Ana/Bulimia) Prior NTD pregnancy Smoking/Alcohol/Drugs Phenytoin

Question 27

Risk of NTD is decreased when women take...

Answer 27

Folic Acid

Question 28

At 16 weeks this is used to screen for NTD

Answer 28

MSAFP

Question 29

MSAFP

Answer 29

Maternal Serun Alphafetoprotein

Question 30

Perinatal Causes include...

Answer 30

Anoxia Placenta Previa Rh Incompatibility

Question 31

Strangled with the cord!

Answer 31

Anoxia

Question 32

The placenta attaches above cervical opening instead of upper uterine walll

Answer 32

Placenta Previa

Question 33

T/F Placenta previa puts both mother & child @ risk

Answer 33

TRUE

Question 34

Rh incompatibility causes what?

Answer 34

Fetal RBC Destruction

Question 35

Symptoms of Rh include (4 - JAB H)

Answer 35

Jaundice Anemia Brain Damage Heart failure & death

Question 36

T/F Rh+ people are at risk for Rh incompatibility

Answer 36

FALSE

Question 37

If mother is Rh- and baby is Rh+ what will happen?

Answer 37

Usually nothing until birth (when blood mixes, mothers blood starts antibody production - sensitization)

Question 38

To prevent sensitization, Rh- mothers should be given this within 72 hours of birth

Answer 38

RhIG - Rh immune globulin, prevents sensitization

Question 39

Postnatally, causes of ID include: TAT BI

Answer 39

``` Trauma Asphyxia Toxins Brain Tumor/Stroke Infections! ```

Question 40

This infection is caused by a bacterial microorganism leading to things like meningitis, epiglottitis, pneumonia, septic arthritis, cellulitis, pericarditis, etc.

Answer 40

Hib Disease

Question 41

Most common infection from Hib

Answer 41

Meningitis

Question 42

Hib is spread...

Answer 42

Resp. secretions - Person2Person

Question 43

Hib typically hits children under _ years old

Answer 43

5

Question 44

This is caused by salicylates - aspirin!

Answer 44

Reye's Syndrome

Question 45

T/F Children absorb less lead than adults.

Answer 45

FALSE - More Lead

Question 46

Lead poisoning can cause (AID)

Answer 46

Anemia Impaired Mental Function Damage neurologically

Question 47

Lead poisoning can be spread by:

Answer 47

Paint Pipes/Taps Cheap Made In China Toys

Question 48

What kind of water should be used for formula?

Answer 48

COLD

Question 49

Males perpetrate this at a rate of 65-90%

Answer 49

Shaken baby syndrome

Question 50

3 Steps to dealing with SBS

Answer 50

Stop Calm Down Try Again

Question 51

Preemy babies are at a higher risk for ID. T/F?

Answer 51

True

Question 52

More likely to have a preterm baby?

Answer 52

Under 20 - Over 35 Hx of miscarriage, stillbirth, many preg's Smoking/Alcohol

Question 53

This rung of the social ladder accounts for 15-20% of persons with ID

Answer 53

Low socioeconomical status