Infectious Disease In Pregnancy

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Obgynume
O
Obgynume
Community Contributor
Quizzes Created: 8 | Total Attempts: 14,550
| Attempts: 575
SettingsSettings
Please wait...
  • 1/8 Questions

     A 19 year old primigravida comes into triage at 36 wks gestation with premature rupture of membranes. She has received limited prenatal care and Group B Strep status is unknown. What should your next step be?

    • Rectovaginal GBS swab and culture, and prophylactic penicillin
    • C/S to avoid exposing fetus to unknown vaginal flora
    • IV Clindamycin 9mg every 8 hours until delivery
    • GBS status does not play a role at this time
Please wait...
Infectious Disease In Pregnancy - Quiz
About This Quiz

This quiz assesses knowledge on managing infectious diseases in pregnancy, focusing on conditions like Group B Strep, HSV-2, congenital rubella syndrome, Hepatitis B, and HIV. It evaluates critical decision-making skills essential for healthcare providers in obstetrics.

Quiz Preview

  • 2. 

    Which is NOT typical of congenital rubella syndrome?

    • Deafness

    • Retinopathy

    • Congenital heart disease

    • Macrosomia

    Correct Answer
    A. Macrosomia
    Explanation
    Macrosomia refers to a condition where a baby is born with excessive birth weight. This is not typically associated with congenital rubella syndrome. Congenital rubella syndrome is a condition that occurs when a pregnant woman contracts rubella (German measles) and passes it on to her unborn baby. The syndrome is characterized by a range of symptoms including deafness, retinopathy (eye abnormalities), and congenital heart disease. However, excessive birth weight or macrosomia is not commonly observed in babies with congenital rubella syndrome.

    Rate this question:

  • 3. 

    A 32 year old G3P2 expresses concern after reading about Parvovirus B-19 on the internet. Which of the following is true about this disease?    

    • Mothers should not be routinely screened for Parvovirus B-19.

    • If an infected fetus does not develop hydrops, long-term outcomes are generally good.

    • There is no specific treatment for parvovirus infection.

    • >60% of adolescents and adults are seropositive for exposure.

    • ALL of the above are TRUE.

    Correct Answer
    A. ALL of the above are TRUE.
    Explanation
    The correct answer is that ALL of the above statements are true. Mothers should not be routinely screened for Parvovirus B-19, as it is generally a mild and self-limiting infection in healthy individuals. If an infected fetus does not develop hydrops, which is a serious condition characterized by abnormal fluid accumulation, the long-term outcomes are generally good. There is no specific treatment for parvovirus infection, as it typically resolves on its own. Additionally, 60% of adolescents and adults are seropositive for exposure, meaning they have antibodies against the virus in their blood.

    Rate this question:

  • 4. 

    Which of the following is true in regards to Toxoplasmosis?     

    • Indoor cats are not reservoirs for Toxoplasmosis.

    • Only HIV positive women should be screened for Toxoplasma.

    • 15% of reproductive age women have antibodies to Toxoplasmosis.

    • Spiramycin may reduce risk of fetal transmission.

    • ALL of the above are TRUE

    Correct Answer
    A. ALL of the above are TRUE
    Explanation
    Toxoplasmosis is a parasitic infection caused by the Toxoplasma gondii parasite. Indoor cats are not reservoirs for Toxoplasmosis because they usually do not have contact with the parasite. Only HIV positive women should be screened for Toxoplasma because their weakened immune system puts them at a higher risk. 15% of reproductive age women have antibodies to Toxoplasmosis, indicating that they have been exposed to the parasite. Spiramycin, an antibiotic, may reduce the risk of fetal transmission by treating the infection in pregnant women. Therefore, all of the statements mentioned are true.

    Rate this question:

  • 5. 

    Which is true of Hepatitis B in pregnancy?      

    • Breastfeeding is always contraindicated in women who are chronic carriers of HBV.

    • Non-immune mothers should not be vaccinated after the second trimester.

    • The risk of fetal infection is higher if maternal infection occurs in the third trimester.

    • Only infants with HBV positive mothers should be vaccinated.

    Correct Answer
    A. The risk of fetal infection is higher if maternal infection occurs in the third trimester.
    Explanation
    The risk of fetal infection is higher if maternal infection occurs in the third trimester. This is because the transmission of Hepatitis B from mother to fetus usually occurs during childbirth. If the maternal infection occurs earlier in pregnancy, the fetus has a longer duration of exposure to the virus, increasing the risk of transmission. However, if the infection occurs in the third trimester, the time for transmission is shorter, reducing the risk of fetal infection.

    Rate this question:

  • 6. 

    Which of the following is NOT a recommended routine screening in pregnancy?  

    • Chlamydia

    • Syphilis

    • HSV serologic screening

    • Hepatitis B surface antigen

    Correct Answer
    A. HSV serologic screening
    Explanation
    HSV serologic screening is not a recommended routine screening in pregnancy because it is not considered to be cost-effective or beneficial in preventing adverse outcomes for the mother or the baby. Additionally, there is a lack of evidence to support routine screening for HSV in pregnant women who do not have symptoms or a history of genital herpes. Therefore, other screenings such as Chlamydia, Syphilis, and Hepatitis B surface antigen are recommended as part of routine prenatal care.

    Rate this question:

  • 7. 

    A 29 year old primigravida patient has a history significant for HSV-2. Which of the following is NOT true regarding her care?      

    • If any vulvovaginal lesions are seen at the time of labor, Cesarean delivery is recommended.

    • Acyclovir should be avoided in the first trimester.

    • Acyclovir should be given starting at 36 weeks to reduce the risk of viral shedding.

    • There is a 3% risk of neonatal infection if the mother has recurrent infection at the time of delivery.

    Correct Answer
    A. Acyclovir should be avoided in the first trimester.
    Explanation
    Acyclovir should be avoided in the first trimester because it is associated with a small risk of birth defects. However, it can be used in later trimesters to reduce the risk of viral shedding and transmission to the baby. If any vulvovaginal lesions are seen at the time of labor, a Cesarean delivery is recommended to prevent the baby from coming into contact with the lesions and reducing the risk of transmission. There is a 3% risk of neonatal infection if the mother has recurrent infection at the time of delivery.

    Rate this question:

  • 8. 

    A 25 year old nulliparous patient with HIV wishes to become pregnant. Which of the following is true?

    • Even with appropriate antiretroviral therapy, neonatal infection occurs 20-25% of the time.

    • Fetal scalp electrode monitoring should be avoided.

    • With appropriate antiretroviral therapy, breastfeeding is safe in these patients.

    • If the mother is untreated and has a high viral load, pursue a vaginal delivery

    Correct Answer
    A. Fetal scalp electrode monitoring should be avoided.
    Explanation
    Fetal scalp electrode monitoring should be avoided in a 25-year-old nulliparous patient with HIV who wishes to become pregnant. This is because the use of fetal scalp electrode monitoring increases the risk of vertical transmission of HIV from the mother to the fetus. Other options are not true or recommended.

    Rate this question:

Quiz Review Timeline (Updated): Mar 22, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 04, 2012
    Quiz Created by
    Obgynume

Popular Topics

Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.