Chapter 10 - Infections in Pregnancy

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Author:
elwoo4
ID:
36435
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Chapter 10 - Infections in Pregnancy
Updated:
2010-09-21 21:12:45
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Women\'s Health core curriculum
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Women's
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  1. A woman who consults her dr after discovering that she was immunised against rubella 3wks after conceiving should be offered:
    a. termination of pregnancy
    b. reassurance
    c. paired rubella IgM andIgG antibody titres 2 wks apart
    d. an 18wk gestation anomaly scan
    e. chorionic villus sampling
    • vaccination - reassurance
    • if exposed to 'wild' rubella: a, c
  2. A woman who is HBeAg positive:
    a. should be isolated from her baby at birth to minimise the risk of vertical transmission of hep B
    b. should bottle feed her baby to minimise the risk of vertical transmission of hep B
    c. should have a c-section to minimise the risk of vertical transmission of hep B
    d. should have a program of hep B immune globulin and active hep B vacination within 12hrs of birth to minimise the risk of vertical transmission of hep B
    e. should be given acyclovir during labour to minimise the risk of vertical trasmission of hep B
    • HBeAg and HBcAg - assoc w viral DNA.
    • HBeAg is confined to infected hepatocytes - rare in serum - highly infectious
    • true - d
  3. UTIs in pregnancy are common because:
    a. immunity is reduced in pregnancy
    b. the gfr is reduced in pregnancy
    c. the vaginal bacterial flora become more pathogenic in pregnancy
    d. reduced bowel mobility leads to an increased incidence of gram-neg bacteraemia
    e. urinary stasis is increased in pregnancy
    e

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