Ch.7/35 Infection of Mother and Neonate

• Risk Reduction:

  • Avoid E_ in B_ F_
  • D_ and A_
  • V_
  • Avoid D_?

  exchange, body fluids, drugs and alcohol, vaccine, douching
• Prevention:

  • Not having S_
  • C_ is the best barrier method to prevent sti's?

  sex, condom
• Bacterial STI's are C_, G_, and S_?

  Chlamydia, Gonorrhea, Syphilis
• Chlamydia:

  • May be P_ and not K_ its there
  • Tested _st and _rd T_
  • Diagnosis: C_
  • Risk Factors: C_ and P_ with B_?

  present, know, 1, 3, trimester, culture, conjunctivitis, pneumonia, baby
• Chlamydia:

  • Signs and Symptoms
  • S_
  • P_ B_
  • P_ D_
  • D_
  • Management
  • A_ during pregnancy
  • D_?

  • spotting, postcoital bleeding, purulent drainage, dysuria, azithromycin, doxycycline
• Chlamydia:

  • Positive Result
  • Retest _ to _ wks then _ mo after?
  • 3, 4, 3
• Gonorrhea:

  • A_ A_ and _ to _
  • Screening _st and _wks
  • Risk Factors
  • P_
  • P_ B_
  • C_
  • I_
  • S_
  • B_ in N_?

  • african American, 20, 24, 1, 36, PPROM, preterm birth, chorio, IUPR, Sepsis, blindness, newborn
• Gonorrhea:

  • Signs and Symptoms
  • P_ D_
  • I_ P_
  • P_ L_ A_
  • B_ S_
  • I_
  • D_
  • S_ L_?
  • purulent drainage, irregular periods, pain lower abdomen, bloody stool, itchy, diarrhea, swollen labia
• Syphilis

  • _ to _
  • Screening
  • R_ and want N_ R_
  • E_ P_?
  • 20, 24, rpr, non reactive, every pregnancy
• syphilis

  • Sign and Symptoms
  • P_ P_ to U_ or L_
  • R_, F_, H_, M_, G_ W_ L_
  • Management
  • P_ G_ and N_ S_?
  • painless papule, ulcer, lesion, rash, fever, headache, malasie, gray wartlike lesions, penicillin g, no sex
• Pelvic Inflammatory Disease:

  • Risk Factors
  • Y_ A_
  • N_
  • M_ P_
  • History of S_ and P_
  • E_ P_
  • I_
  • C_ P_ P_?
  • young age, nulliparity, multiple partners, sti, pid, ectopic pregnancy, infertility, chronic pelvic pain
• Pelvic Inflammatory Disease:

  • Symptoms
  • D_ C_
  • F_ and C_
  • N_ and V_
  • V_ D_
  • I_ B_
  • Management
  • A_?

  • dull cramping, fever, chills, nausea, vomiting, vaginal discharge, irregular bleeding, antibiotics
• Viral STI's are H_, H_, H_, H_?

  hpv, hsv, hepatitis, hiv
• HPV:

  • G_ W_
  • V_
  • P_ T_
  • R_ on O_
  • R_ if N_?

  genital warts, vaccine, pap test, resolves, own, removal, needed
• HSV:

  • Symptoms
  • P_ L_
  • F_, C_, M_
  • S_ D_ of _ to _ wks
  • R_ I_
  • Management
  • A_ V_ of C_?
  • painful lesions, fever, chills, malaise, severe dysuria, 2, 3, recurrent infection, antivirals, clovir
• HSV:

  • Triggers
  • S_
  • M_
  • T_
  • I_
  • U_ L_?
  • stress, menstration, trauma, illness, uv light
• HIV:

  • Viral Copies
  • _ copies is C_ at _ wks
  • < _ copies is V_ at _ wks
  • A_
  • No F_ S_ E_
  • No B_

  1000, section, 38, 1000, vaginal 36, antiviral, fetal scalp electrode, breastfeeding
• Bacterial Vaginosis (BV):

  • Symptoms
  • F_ O_
  • W_ and M_ D_
  • I_
  • Treatment
  • F_?
  • foul odor, white, milk discharge, itching, flagyl
• BV:

  • P_ L_ and B_?
  • Risks
  • N_ or M_ partners
  • D_
  • Lack of C_ use?
  • preterm labor, birth, new, multiple, douching, condom
• Candidiasis:

  • Y_ infection
  • Symptoms
  • I_, V_ D_, T_ W_ C_, R_ and S_
  • Screening
  • W_ S_
  • Management
  • A_ F_?
  • yeast, itching, vag discharge, thick white clumpy, red, swollen, wet smear, antifungal
• Candidiasis:

  • Risk Factors
  • A_ T_
  • D_
  • P_
  • O_
  • D_ high in S_
  • S_ and H_
  • I_?
  • antibiotic therapy, diabetes, pregnancy, obesity, diet, sugar, steroids, hormones, immuno
• Trichomoniasis:

  • Symptoms
  • y_ to G_ F_ D_
  • I_
  • D_
  • Management
  • F_
  • Screening
  • P_?
  • yellow, green frothy discharge, itching, dysuria, flagyl, pap
• Torch Infections:

  • T - T_
  • O - H_ S_ H_
  • R- R_
  • C - C_
  • H - H_?
  • Can led to C_ M_, A_, or S_?

  toxoplasmosis, heb, syphilis, hiv, rubella, cmv, hsv, congenital mal, abortion, stillborn
• Neonatal Signs of Infection:

  • A_
  • R_ D_
  • S_
  • A_ C_
  • A_ H_ and T_
  • B_ F_
  • P_ F_
  • A_ D_
  • C_
  • D_?

  apnea, respiratory distress, seizures, abnormal cry, abnormal heart, temp, bulging fontanels, poor feeds, abdominal distention, cyanosis, diarrhea
• Prevention Measures Of Neonate Infections:

  • H_
  • S_ P_
  • A_ I_ of the E_?

  handwashing, standard precautions, antibiotic instillation, eyes