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NR 327 EDAPT INFECTIONS AND PREGNANCY 2024

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EDAPT INFECTIONS AND PREGNANCY How is toxoplasmosis transmitted? Select all that apply. Toxoplasmosis is transmitted by eating raw, contaminated meats or coming in contact with the feces of infected cats. When the mother has an infection in pregnancy, it will sometimes spread to the fetus and will sometimes cause critical complications even if the mother is only mildly ill. Some infections do not spread to the fetus (tuberculosis, for example) but the well-being of the fetus may still be compromised. Some infections do spread to the fetus (rubella, for example) and cause critical complications even though the mother is only mildly ill. Which statements are true about a pregnant woman with active Herpes genitalis lesions? Select all that apply. Herpes genitalis causes painful genital lesions that can infect the fetus in the uterus if membranes rupture when there are active lesions. Cesarean delivery is done when there are active lesions. Breastfeeding is not impacted by this virus. When the mother has an infection in pregnancy, it often impacts the fetus as well. However, not all infections in the mother reach the fetus but may still impact fetal well-being even if the mother is only mildly ill. Pregnant women are more susceptible to vaginal infections due to hormone related anatomical changes, and some infections in the female can cause lifelong infertility. The acronym TORCH is used to group certain organisms that can cross the placenta and reach the fetus. T = Toxoplasmosis Toxoplasmosis is contracted from eating raw, contaminated meats or coming into contact with the feces of infected cats. Pregnant women do not need to give up their cats but should not change the cat litter prior to or during pregnancy. Toxoplasmosis symptoms may not appear but can be passed on to the fetus and cause serious symptoms later in life, including blindness and mental disability. To prevent toxoplasmosis, pregnant women should avoid uncooked meats and contact with cat feces. O = Other Diseases  Hepatitis A is caused by poor hand washing after defecation. Exposure in early pregnancy is most serious for the fetus. A preventive hepatitis A vaccine may be ordered by the pregnant woman’s healthcare provider.  Hepatitis B is caused by bodily fluid exchange. The hepatitis B vaccine is routinely given to all mothers and newborns. If the mother has hepatitis B, the newborn is at highest risk of becoming infected with hepatitis B during vaginal delivery. Hepatitis B can cause lifelong complications such as liver problems and cancer.  Human immunodeficiency virus (HIV) is transmitted from the mother to the fetus through the placenta. Prevention of transmission can be accomplished by administering antiretroviral medication during pregnancy.

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