Exam 3 OB- Infections Risk Factors and Roles

HSV treatment in pregnancy?

Acyclovir

Active genital HSV at labor?

Cesarean birth generally indicated

GBS-positive during labor?

IV antibiotic prophylaxis

What is chorioamnionitis?

Intra-amniotic infection

Chorioamnionitis risk factors?

Prolonged ROM, labor, repeated vaginal exams

Chorioamnionitis signs?

Fever, uterine tenderness, fetal tachycardia

Chorioamnionitis treatment?

IV antibiotics and obstetric management

Which STI is bacterial and treatable?

Chlamydia

Do condoms reduce STI/HIV transmission?

Yes

What can smoking cause in pregnancy?

Vasoconstriction and fetal growth restriction

Which illicit stimulant causes vasoconstriction?

Cocaine

Major cocaine-associated obstetric risk?

Placental abruption

How should IPV screening be done?

Privately and without judgment

Advanced maternal age definition?

35 years or older

AMA pregnancy risks?

GDM, HTN, chromosomal abnormalities

Adolescent pregnancy risks?

Poor prenatal care, STIs, preterm birth

What is RN's role?

Assessment, monitoring, teaching, nursing care

What is CNM's role?

Pregnancy and birth care, especially low risk

Does WHNP typically attend births?

No

OB/GYN role?

Medical and surgical pregnancy care

Doula role?

Nonmedical emotional and physical support

Can UAP independently assess?

No