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O neonatal effects infants of women with the primary

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oNeonatal effects:Infants of women with the primary infection occurring during thepregnancy are at greatest risk.Potential sequalae include: skin, mouth, or eye lesions with potentialpermanent damage to the nerves or eyes.HSV in the newborn often can spread to the brain and otherinternalorgans (approximate 50% mortality). About 50% of the survivors developmental handicap, cerebral palsy, seizures, blindness, or deafness.Interventions32
oWomen with prodromal symptoms or an active lesion (still in blister or ulcerstages) will be counseled to have c-section. The greatest protection to the fetus isif this is accomplished before ROM greater then 4 hours.oAntiviral drugs can shorten the duration of a herpes attack alleviate symptomsand reduce the number of attacks. Oral acyclovir is sometimes used in latepregnancy to decrease the need for c-section.oAcyclovir and vidarabine are used to treat HSV and is more successful withlocalized infection than one that has spread to brain and other internal organs.Health EducationoEncourage women with a history of genital herpes to avoid “triggers” (heat,friction, intercourse, peanuts, chocolate, fever, or stress) especially during thelater part of pregnancy.oRecommend condoms or abstinence in pregnant women without HSV who havepartners with HSV.oEncourage careful hand washing to prevent spread of HSV to others or to otherparts of the body.oPeople with active cold sore lesions should avoid kissing others especiallynewborns.oEducate women of the importance of reporting prodromal symptoms or lesionsto their care providers with suspected labor or ruptured membranes.16. SyphilisDefined – a sexually transmitted disease from treponema pallidum.Data CollectionoHepatosplenomegaly.oJoint swelling.oPalmar rash.oAnemia.oJaundice.oSnuffles (syphilitic rhinitis).oAscites.oPneumonitis.oCSF changes.InterventionsoAntibiotic therapy.17. Addicted NewbornDefined – a newborn who has been passively addicted to drugs.Data CollectionoIrritability.33
oTremors.oHyperactivity and hypertonicity.oRespiratory distress,oVomiting.oHigh pitched cry.oSneezing.oFever.oDiarrhea.oExcessive sweating.oPoor feeding.oExtreme sucking of fists.oSeizures.InterventionsoMonitor respiratory and cardiac status often.oMonitor vital signs.oSwaddle the newborn.oSmall frequent meals.oIVF.oSkin protection.oReduce stimulation.18. Fetal Alcohol SyndromeDefined – passive addiction to alcohol due to use during pregnancy.Data CollectionoFacial changes:Short, upturned nose.Flat midface.Thin upper lip.Low nasal bridge.oAbnormal palmar creases.oApnea and cyanosis.oCongenital heart defects.oIrritability and hypersensitivity to stimuli.oTremors.oPoor feeding.oSeizures.InterventionsoMonitor respiratory and cardiac status often.

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Term
Summer
Professor
NoProfessor
Tags
Obstetrics, Rubella, Neonate Effects

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