AWHONN POEP Module 10 - Q&A Universal vaccination and prenatal testing for hepatitis B have decreased the incidence of acute hepatitis infections in newborns. Neonates born to hepatitis B surface-antigen (HBsAg)-positive mothers should receive Correct Ans - Hep V vaccine and HBIG within 12 hours of birth; Diagnostic testing 1-3 months A pregnant woman presents with a rash two days before giving birth to a full term neonate. The rash is determined to be caused by the varicella-zoster virus. Which complications will the newborn most likely experience?Correct Ans - Life-threatening disseminated disease Lorna, a 22 year old, presenting to the clinic for her annual examination.Lorna and her husband are planning to start a family. She shares that her friend was newly diagnosed with HPV. Lorna asks you how she would know if she had HPV. Your best response would be Correct Ans - Most HPV infections are asymptomatic, unrecognizable, or clinically unremarkable You are caring for Carla, a 23 year old G1P0 who is being induced for post dates. Carla has a history of herpes simplex virus but no active lesions at this time. The fetal heart rate (FHR) is very difficult to trace. You have to consistently adjust the ultrasound to obtain the FHR. One of the nursing students on the unit asks why you don't place a fetal scalp electrode. Your best response is Correct Ans - The application of a fetal scalp electrode is not generally recommended for women with active lesions or a history of HSV infection because it can cause a local neonatal infection.Karen is being treated for trichomoniasis and is prescribed a single 2 gram dose of oral metronidazole. What should you include in the education to Karen. (Select all that apply.) Avoid alcohol or vinegar products because they may cause nausea, vomiting, or cramping.Avoid sexual intercourse for at least two weeks to allow the tissues to heal.Continue to avoid alcohol for at least 24 hours after you take the metronidazole.You will need to return in three months for retesting. Correct Ans - (All are true) 1 / 2
Avoid alcohol or vinegar products because they may cause nausea, vomiting, or cramping.Avoid sexual intercourse for at least two weeks to allow the tissues to heal.Continue to avoid alcohol for at least 24 hours after you take the metronidazole.You will need to return in three months for retesting.Antimicrobial ophthalmic prophylaxis given to the neonate soon after birth is recommended for which STI? Correct Ans - Gonorrhea Pam is a 30 year old G4P4 who just had a vaginal birth of a term female. Pam is HIV positive and has been on ARV prophylaxis. She is wanting to know if she can breastfeed her baby. Your best response would be? (Select all that apply.) Although the exact mechanism of HIV transmission through breastmilk is not clear, HIV RNA can be detected in colostrum and breastmilk so breastfeeding is not recommended.HIV RNA cannot be detected in colostrum and breastmilk so it is safe to breastfeed.It is suggested that the portal of entry for breastmilk HIV transmission to be the newborn's intestine or tonsillar tissues so breastfeeding is not recommended.The strong recommendation is avoidance of breastfeeding despite the reduction of risk of breastmilk postnatal transmission with ARV prophylaxis.Correct Ans - Although the exact mechanism of HIV transmission through breastmilk is not clear, HIV RNA can be detected in colostrum and breastmilk so breastfeeding is not recommended.It is suggested that the portal of entry for breastmilk HIV transmission to be the newborn's intestine or tonsillar tissues so breastfeeding is not recommended.The strong recommendation is avoidance of breastfeeding despite the reduction of risk of breastmilk postnatal transmission with ARV prophylaxis.Monica is a 28 year old G5P1 at 39 2/7 weeks gestation who presents to the L&D unit in active labor. She has had limited prenatal care due to issues with transportation. Monica tells you that she is HIV positive and has been taking ARV as prescribed. From your training you have received, you know that additional measures to reduce HIV transmission include? (Select all that apply.) Avoiding artificially rupturing Monica's membranes.
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