STDs/Exposures in Pregnancy

Question 1

True or False: you can use an FSE with a patient with HIV?

Answer 1

False: even if the viral load is undetectable.

Question 2

What are the two tests that are to diagnose HIV?

Answer 2

Positive ELISA test a Western Blot test confirms it.

Question 3

When do you check a viral load to route of delivery for HIV?

Answer 3

36 weeks:
- viral load <1000 = viral delivery
- viral load >1000 = c-section delivery

Question 4

What is the treatment for Chlamydia?

Answer 4

1 g of Azithromycin IM or 7 days oral

Question 5

What are symptoms to watch for in newborns?

Answer 5

Conjunctivitis and pneumonia

Question 6

What is the treatment for Gonorrhea?

Answer 6

Rocephin

Question 7

What is the treatment for newborns for Gonorrhea?

Answer 7

Erythromycin (eye ointment)

Question 8

What is the treatment for Syphilis?

Answer 8

Penicillin IM weekly for 3 weeks

Question 9

What are the risks to the fetus/newborn?

Answer 9

IUGR, stillborn, neuro effects

Question 10

What are long-term risks to the newborn with toxoplasmosis exposure?

Answer 10

Mental Retardation

Question 11

What are some effects on the fetus/newborns with exposure to CMV?

Answer 11

Low birth weight, IUGR, hearing loss, mental retardation, microcephaly

Question 12

What are the three categories or HSV?

Answer 12

1. Primary: symptomatic 3-5 days, first outbreak is very painful
2. Secondary: subsequent outbreaks and unilateral in the same area
3. Subclinical: no prior history and asymptomatic

Question 13

What is the treatment for HSV?

Answer 13

Valtrex or acyclovir beginning at 35 weeks

Question 14

Which STD’s can cross the placenta?

Answer 14

Syphilis, CMV, toxoplasmosis, rubella, varicella, and HIV

Question 15

Which STD’s can’t cross the placenta?

Answer 15

Hep B, Chlamydia, and Gonorrhea