RNC OB Part 1: Factors Affecting Fetus and Newborn 100% Solved

RNC OB Part 1: Factors Affecting Fetus and Newborn 100% Solved PreE is present when SBP is 140 and DBP is greater than 90 and proteinuria is greater than _______mg per 24 hours (or 1g/L on dipstick) 300 Patient may be considered preeclamptic in absence of ____________ if she has headache, visual disturbances, RUQ pain, or other abnormal labs Proteinuria CHTN in pregnancy is HTN present before 20th week gestation or perists after ___ months postpartum 3 Most infants infected with AIDS/HIV acquire infection from their mothers (___________ transmission) Vertical The perinatal transmission rate of HIV/AIDS is ___% in untreated mothers and is usually acquired during delivery, but optimal treatment reduces perinatal transmission rate to as low as 1-2% 30 Neonates infected with AIDS/HIV are usually asymptomatic but are at risk for prematurity, low birth weight, SGA, FTT, hepatomegaly, interstitial lymphocytic ____________. recurrent infections, and CNS abnormalities Pneumonia For neonates born to HIV+ moms, Antiviral medications should be started within _____ hours of birth and continued for first 6 weeks of life 6-12 While woman is usually asymptomatic, _________ can affect pregnancy by increaseing risk of PTL, PROM, and chorioamnionitis. Chlamydia _________ is opthalmic ointment that should be administered as prophylaxis against chlamydia and gonorrhea to prevent opthalmic neonatorum Erythromycin May exacerbate with pregnancy causing proliferation of lesions, but usual treatments are contraindicated. Lesions may be excised, cauterized, or treated with cryotherapy HPV This virus can be transmitted to infant during delivery resulting in recurrent epithelial tumors in neonate's mucous membranes and larynx (recurrent repiratory papillomatosis) HPV Neonates exposed to _____ may exhibit weak cry, dysphagia, cough, or inspiratory stridor Prevent with immunization of preadolescent children! HPV Gonorrhea may cause ___________ which weakens fetal membranes and increases risk of PTL and PROM Endocervicitis Syphillis can be transmitted through the ______ resulting in SAB, stillbirth, PTL, and congenital syphyilis Placenta Transmission rates to fetus are ________% if mother has untreated primary or secondary syphilis 50-80 Fetus is affected by Syphilis after the ____ trimester, so organs develop nomrally but all body systems may be affected First Neonates exposed to _______ may be asymptomatic at birth but exhibit multiple symptoms such as mucous patches, skin lesions, gumma, and neurological impairment (meningitis, hydrocephalus, and seizures) within first 3 months (early onset) or after 2 years (late onset) Syphilis Benzathine