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13 Cards in this Set
- Front
- Back
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27. Significance of prenatal lab findings of: positive HIV ELISA?
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a. May indicate infection with HIV
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28. Next step with prenatal lab findings of: positive HIV ELISA?
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a. Western blot or PCR, and if positive, place pt on anti-HIV meds
b. Offer elective C-section, c. or IV ZDV in labour. d. Intervention reduces vertical transmission from 25% to 2%. |
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29. Significance of prenatal lab findings of: + RPR?
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a. May indicate syphilis
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30. Next step with prenatal lab findings of: + RPR?
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a. Specific anybody such as:
i. MHA-TP b. And if positive than stage disease |
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31. Tx of syphilis in pregnancy?
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a. < 1 year, pcn z 1
b. >1 yr or unknown, penicillin IM each week x 3. |
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32. Significance of prenatal lab findings of: positive gonorrhea?
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a. May cause:
b. Preterm labor c. Blindness |
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33. Next step with prenatal lab findings of: positive gonorrhea?
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a. Ceftriaxone IM
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34. Significance of prenatal lab findings of: Chlamydia?
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a. May cause:
1. Neonatal blindness 2. Pneumonia |
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35. Next step with prenatal lab findings of: Chlamydia?
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a. Azithromycin or amoxacillin orally
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36. Significance of prenatal lab findings of: Hep B surface antigen +?
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a. Patient is infectious
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37. Next step with prenatal lab findings of: Hep B surface antigen +?
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a. Check LFTs and hepatitis serology to determine if chronic carrier vs. Active hepatitis.
b. Baby needs HBIG and hepatitis B vaccine . |
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38. Significance of prenatal lab findings of: positive urine culture?
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a. Asymptomatic bacteria may lead to pyelonephritis (25%)
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39. Next step with prenatal lab findings of: positive urine culture?
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a. Treat with antibiotics + recheck urine culture.
b. If GBS is the organism, and give penicillin in labor |
