Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction > Infections in pregnancy > Flashcards

Infections in pregnancy Flashcards

1
Q

How does chicken pox present?

A

Fever
Malaise
Itchy vesicular rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How is chicken pox spread?

A

Respiratory droplets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the period of infectivity for chicken pox?

A

48h before the rash develops until all the lesions have crusted over (5-7 days after rash starts usually)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does chicken pox affect children?

A

Usually harmless and self-limiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the risks of contracting chicken pox as an adult?

A

Hepatitis
Encephalitis
Pneumonitis
Greater risk in immunocompromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is there a risk of congenital infection?

A

When a non-immune pregnant woman is exposed within the first 28 weeks of pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Does fetal varicella syndrome increase risk of miscarriage?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How does fetal varicella syndrome present?

A

Skin scarring
Congenital eye abnormalities
Hypoplasia of ipsilateral limbs
Neuro abnormalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the risk of congenital infection if the mother is exposed in the last 4 weeks of pregnancy?

A

Significant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What test is taken if a woman who is unsure if she is immune has been exposed to chicken pox?

A

Serum IgG to check her immunity status
If IgG positive, we just need to reassure
If IgG negative then VZ immunoglobulin should be offered asap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is severe VZ infection managed in pregnant women?

A

IV aciclovir

Admit to hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some other names for parvovirus b19?

A

Slapped cheek disease
Fifth disease
Erythema infectiosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is parvovirus b19 spread?

A

Respiratory droplets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does parvovirus b19 present in children?

A

Fever
Rash
Erythema of cheeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does parvovirus b19 present in adults?

A

Usually asymptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Is there a vaccine available for parvovirus b19?

A

No

17
Q

How can parvovirus b19 infection affect pregnancy?

A

Fetal anaemia
Cardiac failure
Fetal death
Hydrops fetalis

18
Q

What is hydrops fetalis?

A

A condition in the fetus characterised by an accumulation of fluid, or oedema, in at least two fetal compartments

19
Q

What is the critical period for infection of parvovirus b19 during pregnancy?

A

12-20 weeks

20
Q

How is parvovirus b19 infection in pregnancy managed?

A

Serum IgG taken

If positive weekly scans are offered to monitor fetal abnormalities

21
Q

What causes toxoplasmosis?

A

Toxoplasmogondii

22
Q

How is toxoplasmosis usually contracted?

A

Infected cat faeces

Undercooked meats

23
Q

How does toxoplasmosis present in adults?

A

Usually asymptomatic

May cause flu like symptoms (Sore throat, coryza, arthralgia)

24
Q

Can toxoplasmosis increase risk of miscarriage or intrauterine death?

A

Yes

25
Q

Does HIV increase risk of congenital abnormalities?

A

No

26
Q

What are some risks associated with HIV in pregnancy?

A

Pre-eclampsia
Preterm delivery
Low birth weight

27
Q

What are the aims of combined ant-retroviral treatment (cART)?

A

Reduce viral load
Reduce risk of vertical treatment
Improve mother’s health

28
Q

Does breastfeeding increase or decrease the chance of vertical transmission of HIV?

A

Increase

29
Q

What are some measurements taken to check up on HIV risk throughout pregnancy?

A

CD4 count
LFTs whilst on cART
HIV viral load

30
Q

What does low viral load indicate?

A

Vaginal birth supported

31
Q

How is Hep B usually spread?

A

Vertical transmission

Blood and other body fluids

32
Q

What are some conditions which Hep B contraction at birth could from mother could predispose you to?

A

Liver cirrhosis

Hepatocellular cancer

33
Q

How are mothers with chronic HBV and high viral load managed?

A

Tenofivir monotherapy in 3rd trimester to reduce risk of transmission

34
Q

How are babies managed when mother has Hep B?

A

Hep B immunoglobulins at birth

Accelerated immunisation schedule

35
Q

Does breastfeeding increase Hep C transmission?

A

No

36
Q

Which pathogen causes syphilis?

A

Treponema pallidum

37
Q

Can syphilis be cured?

A

Yes

IM penicillin course

38
Q

How may syphilis be transmitted from mother to child?

A

Trans-placental

Exposure to lesion at birth

39
Q

When can congenital syphilis present?

A

Usually first 2 years of life

Most develop symptoms within 5 weeks

Reproduction (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions