Keeping You Safe At Work, Occupational Health Clinic, Resource Articles. CHAPTER 15: INFECTIOUS DISEASES MULTIPLE CHOICE 1.Which of the following factors or conditions were responsible, in the first third of the 20th century, for the high incidence of infant and childhood mortality? Fifth disease, also called erythema infectiosum, is a viral illness caused by human parvovirus B19. However, if you are not immune to parvovirus B19 and are not currently infected, you may want to stay away from people with fifth disease while you are pregnant. Varicella during pregnancy is a rare but potentially serious condition able to generate severe maternal and fetal disease as well as disseminated infection in newborns. Rule out or verify fetal abnormalities 2. Hcg rises during pregnancy and maintains the pregnancy raises until about 12 weeks of pregnancy, then body recognizes it and then it drops again 1254. prenatal examination These are some of the most common and can be associated with congenital anomalies. The nurse should pan to prepare the client for which of the following diagnostic tests? mumps, parvovirus B19, and varicella‑zoster. Lassen J, Jensen AK, Bager P, et al. Page Ref: 943, 944. In most cases, your baby would be fine, though it’s possible for the virus to cause serious complications. Gestational parvovirus B19 infection is usually a minor illness for the mother with a transplacental transmission rate of 17% to 33% to the fetus with a mean of about 6 weeks between maternal infection and fetal symptoms (Gratacós et al., 1995; Harger et al., 1998). 49. Which of the following actions should the nurse take? 5. This category only includes cookies that ensures basic functionalities and security features of the website. Joint pain and swelling is more common in adults. Donate To Make Motherhood a Healthy Reality. However, the low risk following infection in pregnancy does not justify routine exclusion of susceptible pregnant women from working with children during epidemics. Infection during pregnancy can cause severe fetal anaemia and nonimmune hydrops fetalis (NIHF), often leading to miscarriage or fetal death. Parvovirus B19 is one (1) of the most common causes. Fifth disease spreads easily, like a cold. Preeclampsia is one of the most serious conditions affecting pregnant women. Infection with Parvovirus B19 can occur at any age, but is most common in children aged six – ten years. Parvovirus B19 infection: association with third-trimester intrauterine fetal death. In the rare incidences when the condition worsens, your healthcare provider may treat your baby with blood transfusion while in utero. If you're considering pregnancy and you haven't already had chickenpox or been vaccinated, ask your health care provider about the chickenpox vaccine. Although one-fifth of those affected have only mild disease, patients with sickle cell anemia or similar types of chronic anemia can suffer from acute anemia. If you suspect that you have been exposed to the Fifth disease but you do not have a rash, a blood test will need to be administered in order to test for infection. 1. J Obstet Gynaecol Can. Rubella vaccination is contraindicated in pregnant women as it is a live virus; Avoid crowds of young children; Women w/ low titers should receive vaccination prior to pregnancy 2. This website uses cookies to improve your experience. Parvovirus B19 is a single stranded DNA virus which causes erythema infectiosum, also known as fifth disease. Intrauterine growth restriction (IUGR) is a common complication of pregnancy in developing countries, and carries an increased risk of perinatal mortality and morbidity. Approximately 1 in 400 expecting mothers in the United States are infected with the Fifth disease each year. ... ATI resp. Schedule an ultrasound examination. This information should not take the place of medical care and advice from your healthcare provider. Cognitive Level: Applying. Which of the following actions should the nurse take? Talk with your family, healthcare provider, and employer to decide what is best for you. In many cases, your health care provider will suggest additional ultrasounds for 8 to 12 weeks in order to watch for any potential pregnancy complications. La quinta enfermedad, también conocida como eritema infeccioso, es una enfermedad viral que la causa el parvovirus B19 humano. The development of Hydrops is serious as it can lead to congestive heart failure and possibly death. 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