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33 Cards in this Set
- Front
- Back
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CHAPTER EIGHT
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(Ignore this card)
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Procedures such as amniocentesis or episiotomy should be avoided with what infection?
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HIV
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Use of internal fetal monitors, vacuum extraction, and forceps should be avoided with what infection?
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HIV
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List some S/S of HIV/AIDS
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fatigue, diarrhea, weight losss, anemia
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Describe the medication used for HIV/AIDS
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Retrovir (Zidovudine) - an antiretrovial that is a nucleoside reverse transcriptase inhibitor
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Toxoplasmosis is caused by
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consumption of raw or undercooked meat or handling cat feces
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The S/S of toxoplasmosis are
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similar to influenza or lymphadenopathy; fever and tender lymph nodes
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Rubella is contracted when?
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through children who have rashes or neonates who are born to mothers who had rubella during pregnancy
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CMV is transmitted when?
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by droplet infection from person to person in body fluids. Viruses may be latent and may be reactivated
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HSV is spread by what?
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direct contact with oral or genital lesions
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Rubella causes what S/S?
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joint and muscle pain, rash, mild lymphedema, fever, miscarriage, congenital anomalies, fetal death
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CMV has what S/S?
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asymptomatic or mononucleosis-like symptoms
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Toxoplasmosis Tx is
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sulfonamides or a combination of pyrimethamine and sulfadiazine (potentially harmful to fetus, but parasite treatment is essential)
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Rubella vaccine is teratogenic!!!
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(Please ignore this side of the card)
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Effects of +GBBS include
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PROM, preterm labor and birth, chorioamnionitis, UTIs, and maternal sepsis
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Vaginal and rectal cultures for GBBS are done when?
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35-37 weeks
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What two meds are used for GBBS?
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penicillin G or ampicillin (Principen)
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Describe penicillin G administration for GBBS
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5 million U initially IV bolus, then 2.5 million U intermittent IV bolus every 4 hours
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Describe ampicillin administration for GBBS
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2g IV initially, followed by 1 g every 4 hours
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Most common STD
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Chlamydia
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Symptoms of chlamydia
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Commonly asymptomatic; vaginal spotting and vulvar itching; white, watery vaginal discharge
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Which women should be screened for STDs?
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All women and adolescents ages 20-25 who are sexually active
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After taking the prescribed regimen for chlamydia, women who are pregnant should be retested when?
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3 weeks after completing regimen
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What medications are used for chlamydia?
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Broad spectrum antibiotics: azithromycin (zithromax), amoxicillin (Amoxil), erythromycin (Ery-tab)
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Why is erythromycin (Romycin) given to neonates?
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for ophthalmia neonatorum, prophylactic against neisseria gonorrhoeae and chlamydia trachomatis
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Male S/S of gonorrhea
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urethral discharge, painful urination, frequency, PID, heart disease, arthritis
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Female S/S of gonorrhea
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lower abdominal pain; dysmenorrhea; urethral discharge; yellowish-greenish vaginal discharge; reddened vulva and vaginal walls; PID, heart disease, arthritis
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Which medications are given for gonorrhea
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ceftriaxone (Rocephin) IM or azithromycin (Zithromax) PO; broad-spectrum antibiotics; given for 7 days
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Risk factors for Candida albicans include
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DM or oral contraceptives
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What preps are used to identify candida albicans?
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wet preps; KOH (potassium hydroxide) preps
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S/S of candida albicans
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vulvar itching; thick, creamy, white vaginal discharge; vulvar redness; white patches on vaginal walls; tray-white patches on the tongue and gums (neonate)
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What medications are used to treat candida albicans?
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Antifungal agents: Fluconazole (Diflucan); OTC med is clotrimazole (Monistat)
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What should women not wear to avoid candida albicans?
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Tight-fitting clothing
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