49. You see a 20-year-old G 1PO with a diagnosis of genital herpes in pregnancy . What is the gestational age at which a primary infection occurs that the risk of transmis sion to the baby is greatest? A. First trimester 8-13 weeks) B. Second trimester 14-22 weeks) C.Third trimester (29-34 weeks) D.Third trimester (34-40 weeks) 50. You admit a woman at 40 weeks of gestation in labour with confirmed genital herpes This is thought to be a primary infection.She is offered an emergenc), CS that she refuses. How will you manage this patient? A. Administel herpes immunoglobulin to the mothe r and baby after birth B. Administer herpes immunoglobulin to the baby after birth C. Allow vaginal delivery and offer baby prophylactic aciclovir D. Commence her on intravenous aciclovir and also offer the neonate intravenous aciclovir 51. An elective caesarear section is being performed on a 30-year-old Rhesus D negative pregnant woman at 37 weeks of gestation for placenta praevia (major)Arrangements were made and she is receiving intraoperative cell salvage (ICS) transfusion . What would be the plan with regard to Rhesus D prophylaxis in this woman assuming the baby's blood group is unknown? A. Administer 500 IU anti -D Ig and then take a sample of materna l blood 30-45 min after intraoperative cell salvage (ICS) infusion B. Administer 750 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS C. Administe r 1500 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS infusion D. Administe r 2000 IU anti-D Ig and then take a sample of maternal blood 30-45 -45 min after ICS infusion 52.What is the recommende d regimen for anti-D prophylaxis for a 26-year -old Rhesus D negativ e woman who is not sensitized? A. 500 IU Ig at 28 weeks of gestation B. 500 IU lg anti-D at 34 weeks of gestation C. 1000 IU Ig anti -D at 28 weeks gestation D. 1500 Il J Ig anti -D at 28 weeks gestation

Question

49. You see a 20-year-old G 1PO with a diagnosis of genital herpes in pregnancy . What is the gestational age at which a primary infection occurs that the risk of transmis sion to the baby is greatest? A. First trimester 8-13 weeks) B. Second trimester 14-22 weeks) C.Third trimester (29-34 weeks) D.Third trimester (34-40 weeks) 50. You admit a woman at 40 weeks of gestation in labour with confirmed genital herpes This is thought to be a primary infection.She is offered an emergenc), CS that she refuses. How will you manage this patient? A. Administel herpes immunoglobulin to the mothe r and baby after birth B. Administer herpes immunoglobulin to the baby after birth C. Allow vaginal delivery and offer baby prophylactic aciclovir D. Commence her on intravenous aciclovir and also offer the neonate intravenous aciclovir 51. An elective caesarear section is being performed on a 30-year-old Rhesus D negative pregnant woman at 37 weeks of gestation for placenta praevia (major)Arrangements were made and she is receiving intraoperative cell salvage (ICS) transfusion . What would be the plan with regard to Rhesus D prophylaxis in this woman assuming the baby's blood group is unknown? A. Administer 500 IU anti -D Ig and then take a sample of materna l blood 30-45 min after intraoperative cell salvage (ICS) infusion B. Administer 750 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS C. Administe r 1500 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS infusion D. Administe r 2000 IU anti-D Ig and then take a sample of maternal blood 30-45 -45 min after ICS infusion 52.What is the recommende d regimen for anti-D prophylaxis for a 26-year -old Rhesus D negativ e woman who is not sensitized? A. 500 IU Ig at 28 weeks of gestation B. 500 IU lg anti-D at 34 weeks of gestation C. 1000 IU Ig anti -D at 28 weeks gestation D. 1500 Il J Ig anti -D at 28 weeks gestation

Answer 1

49. The correct answer is D. Third trimester (34-40 weeks). The risk of transmission of genital herpes to the baby is greatest when the primary infection occurs in the third trimester. This is because the virus can be transmitted to the baby during delivery if the mother has an active outbreak.50. The correct answer is D. Commence her on intravenous aciclovir and also offer the neonate intravenous aciclovir. In this scenario, the woman has a primary infection of genital herpes and is refusing an emergency cesarean section. The best course of action would be to commence the mother on intravenous aciclovir and also offer the neonate intravenous aciclovir to reduce the risk of transmission.51. The correct answer is B. Administer 750 IU anti-D Ig and then take a sample of maternal blood 30-45 min after ICS. In this scenario, the woman is Rhesus D negative and is receiving intraoperative cell salvage transfusion. The plan for Rhesus D prophylaxis would be to administer 750 IU anti-D Ig and then take a sample of maternal blood 30-45 min after the ICS infusion. This is to ensure that any potential sensitization is detected and managed appropriately.52. The correct answer is B. 500 IU Ig anti-D at 34 weeks gestation. For a Rhesus D negative woman who is not sensitized, the recommended regimen for anti-D prophylaxis is to administer 500 IU Ig anti-D at 34 weeks gestation. This helps to prevent the development of antibodies against the D antigen and reduce the risk of hemolytic disease of the newborn in subsequent pregnancies.

Question

Solution

Resposta