Infections Transmitted to Newborn Flashcards Preview

Women's Health Test III > Infections Transmitted to Newborn > Flashcards

Flashcards in Infections Transmitted to Newborn Deck (19)
Loading flashcards...
1

rubella

  • crosses the placenta and causes fetal infection
  • can lead to deafness, cataracts, cardiac defects, infecting other adults/infants after birth
  • prevention:
    • rubella titer (1:8 or less = non-immune
    • rubella vaccination
      • 28 days prior to pregnancy
      • NOT during pregnancy

2

herpes simplex virus (HSV)

  • no vaginal delivery w/ active lesions
    • bright light examination
  • transmission to infant
    • after ROM
    • during birth
    • placement of an FSE
  • 50% infant death rate
  • acyclovir prophylaxis

3

hepatitis B

  • transmitted via vaginal secretions, breast milk, crosses placenta, and semen
  • infant hep B immunization prior to discharge
  • if mother hep B positive: HBIG and hep B vaccine administered to neonate w/in 12 hours

4

HIV

  • perinatal exposure thru birth
  • exposure thru breast milk

 

  • antiretroviral drugs to mother
  • infant HIV positive for up to 18 mos
    • prophylactic antiretrovirals
    • no breast feeding

5

GBS

  • colonization of rectum, vagina, cervix, urethra
  • infects infant during birth
    • sepsis, meningitis, pneumonia
  • culture specimen at 36 weeks
  • penicillin (or cephazolin) during labor
  • risk for infection:
    • prolonged ROM
    • multiple vaginal exams

6

toxoplasmosis

  • stay away from cat litter and raw meat

7

listeria

  • no lunch meat, sushi, soft cheese

8

newborn risks with chlamydia

  • ophthalmia neonatorium
    • subsequent blindness if untreated

9

newborn risks with gonorrhea

  • ophthalmia neonatorium
    • subsequent blindness if untreated

10

newborn risks with syphilis

  • congenital syphilis

11

newborn risks with HSV type 2

  • primary infection esp in 3rd trimester can cause IUGR or prematurity

12

newborn risks with CMV

  • will be symptomatic at birth
  • LBW
  • IUGR
  • infected newborn may shed the virus from the nasopharynx and urine for several years after birth
    • these are a reservoir of infection for uninfected caregivers

13

newborn risks with Hep B

  • LBW
  • infants can be chronic carriers

14

newborn risks with HIV

  • signs appear at 4-12 mos
    • infected infant develops failure to thrive, hepatospenomegaly, SGA, epstein barr virus
    • mortality
    • pneumonia, recurrent infections, neuro abnormalities
    • persistent Candida or bacterial infections

15

newborn risk with Candidiasis

  • oral thrush

16

newborn risks with GBS

  • can be early or late onset
  • sudden onset of respiratory distress
  • temp instability in newborn

17

newborn risks with rubella

  • abortion
  • IUGR
  • if born to mother with rubella, shed virus for many months
    • pose a threat to other infants and susceptible adults who come in contact w/ them

18

newborn risks with toxoplasmosis

  • prematurity
  • stillbirth
  • neonatal death
  • congenital anomalies

19

newborn risks with Condyloma acuminatum (Venereal Warts)

  • laryngeal papilloma