fetal developmental issue

toxoplasmois

-raw meat,cat litter

-most seripous in 1st rimester

-if severely infected,die in uero,

perterm is nomral

toxoplasmosis on fetus

=jaudice,hepatomegaly,rash,lymphdenpathy

hydrocpeohaluy,cerbreal calcification,choroetinis,microcephaly,seizure,cognitive impairment,deadf,encephalisits,myocarditis,anemia,dirrhea,vomintg

toxoplasmosis tx

-spriamycin,cotrimoxazol

-well cook food

wear glove,hand wash

apcid fece contact

HBV

aymptomatic at birth

clincial hepatisis,jaundice,chage inliver function,fulminant hepatisi,increase pretem,

transplacental,contaminated maternal fluid

HBV tx

HBV vaccine

contact precaution

swab newborn

IV antivrial on bb

BF if no lesion

varcieela zoster

1st semster:

intrauterine infection;

limb dysplasia,microcephaly,cotical atrophy,chorioethinitis,catarct,cutaneous scar,audiotry nerve palsu,motor and cognitive dlay

after birthvaricella,have severe ss,rash fever

rubella

1st trimaster early 2nd

glucoma,catarct,retinopathy

menioencephalisits

-hepatocephaly,jaudice,mthromocytopenia,purpura

-mental reyard

-congenital heat disease

-LBW

-HEARING LOSS

rubella tx

pregant women should avoid contact with affected

vaccination

chekc anitody

CMV

virus in urine,tissue

-visual,brain,heaind impaiement

-epolepsy,liver/lung spleen issue

-cordiation disorder

-premature,LBW

microcephaly,seizure,,mental retard

tx;systematic infection,ganciclobir

herpes simplex

-tramsplacemta;.direct transmision

-neonantal herpes

-micropthalmia,choriroetinis

-microcephaly,encephalomalacia

-liver,adrenal goland,lung diseeminated infection

HSV tx

culturr mouth,nasopharynx,rectum,skin vesicle,ruine stool,blood csf

ix acyclobir

continue bf if not lesion

alcohol

-small head,flat face,thin lip,small eye,low nsal brige

intellectual diability

hyperiirrtability,tremor

hyperactivity

cognitive delay

cocaine

-preterm SGA

-microcephaly,hyperactibty,hypersensitivity to stimuli,irritability,developmental delau

-ppor feeding,diarrhea

-irregualr sleep pattern

-cognital amomaly:prune belluy syndrom:abd wrnkled,abd distended

heronin

lbw,sga

irritability

tachyopnea

feeding difficulty,vomitng

hifh pitch cry

sz

methamphetamine

-brain,heart,abnormality

-lbw.SGA,preterm

-congenital anomaly

-brain hemorrhage,stroke

-birth defect: club foot

-palcenta abruptio

tobacco

-increase SIDs,LBW,spintaneou sabortion,stillbirth

palcenta abruptio,prematue

marijuana

neonatal termor,LBW,IUGR<attention

SSRI

hypertonia,termor,high pitch cry,feeding prob

-could transfer by mild monitor irritability,sleep distrubance,poor feeding

caffeine

high inake-decrease LBW

IUGR

increae miscarriage

increase hear arrthmia

neonatal abstince syndrom

cry,sleep,hyperactive,termor,increaser muscle tone,convulsion,jerk,fever,sweat,nsal stiffness, nsal flaring,tachypnea

poor feeding

nursing care

-identify probelm

-intitte tx

=monitor infant withdral s

-risk for abuse

-yteach helath behavior,emotional support,cope with it,gentic conseling