Prenatal Infection - PrenatalInfection...

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Prenatal Infection CLIENT ASSESSMENT DATA BASE Activity/Rest Malaise, fatigue Generalized weakness May report difficulty sleeping Poor muscle tone/muscle wasting Circulation May be jaundiced Elimination Dysuria, urinary frequency, decreased urine output, hematuria Food/Fluid Nausea, vomiting, anorexia, weight loss. Tongue may have visible lesion or sore (hairy leukoplakia seen in AIDS). May report indigestion, altered taste. Loss of subcutaneous fat. Poor skin turgor. Pain/Discomfort Backache, flank pain, colicky pain noted with acute pyelonephritis. Chest pain may occur with tuberculosis. Severe itching, burning pain with lesions. May complain of pruritus with active (infectious) hepatitis A or B. Respiration Dyspnea with exertion. Cough may be productive of thick/purulent/blood-tinged sputum or may be nonproductive. Crackles (rales), wheezes, bronchial breath sounds; tubular breath sounds, diminished/absent breath sounds over areas  of pleural effusion or pneumothorax (tuberculosis). Safety Temperature elevation dependent on type of infection, e.g., low-grade in cystitis, high fever in pyelonephritis Chills, night sweats History of UTI Positive cultures, elevated titers, positive screening for infectious disease Exposure to body fluids or blood products through professional practice or through receiving a transfusion parenterally  as a patient; carrier of group B beta-hemolytic streptococci (GBS) or of hepatitis B virus (HbsAg, anti-HBcAg) Exposure to infectious agents through employment/environmental contact Sexuality May have history of early trimester pregnancy loss(es). May currently have, or have previous exposure to, numerous heterosexual/bisexual partners, which increases risk for  exposure to HIV and STDs; sexual partner may be hemophiliac, necessitating blood transfusions and placing him  at risk for acquisition of HIV. Vaginal discharge may be frothy, gray-green (trichomonal infection); whitish (candidal infection); thin, watery,  yellow-gray, foul-smelling, “fishy” ( Gardnerella vaginalis  infection).
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Strawberry patches on vaginal walls/cervix (trichomonal infection). May have visible perineal or genital warts, lesions, or chancres. Fundal height may not be AGA, possibly indicating IUGR associated with rubella or toxoplasmosis, or may correspond  with gestational age of less than 37 wk, indicating increased risk for GBS. Membranes may rupture prematurely (PROM). Social Interaction Immigrants from Africa or Haiti may have increased risk of AIDS; immigrants from Southeast Asia, Central America,  or the Caribbean islands may have increased risk of infectious or carrier state of hepatitis B virus (HBV); Native  Americans, inner city, lower socioeconomic population, and immigrants from underdeveloped countries also have 
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Prenatal Infection - PrenatalInfection...

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