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18)A 32-year-old woman, gravida 3, para 2, at 37 w - alveoli - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 2 CK (https://www.usmleforum.com/forumdisplay.php?fid=3) +--- Thread: 18)A 32-year-old woman, gravida 3, para 2, at 37 w - alveoli (/showthread.php?tid=284347) |
18)A 32-year-old woman, gravida 3, para 2, at 37 w - alveoli - ArchivalUser - 03-21-2008 18)A 32-year-old woman, gravida 3, para 2, at 37 weeks' gestation comes to the physician for a prenatal visit. She has no current complaints. Her past medical history is significant for hepatitis C infection, which she acquired through a needle stick injury at work as a nurse. She is hepatitis B and HIV negative. She takes no medications and has no allergies to medications. Her prenatal course has been uncomplicated. She wants to know whether she can have contact with the baby or breast-feed given her hepatitis C status. Which of the following is the correct response? A. There is no evidence that breast-feeding increases HCV transmission B. There is strong evidence that breast-feeding increases HCV transmission C. Complete isolation is not needed but breast-feeding is prohibited D. The patient should be completely isolated from the baby 0 - ArchivalUser - 03-21-2008 Ahaaa! It worked!!!!! 0 - ArchivalUser - 03-21-2008 a. 0 - ArchivalUser - 03-21-2008 lol 0 - ArchivalUser - 03-21-2008 a. There is no evidence 0 - ArchivalUser - 03-21-2008 agreed.... 0 - ArchivalUser - 03-21-2008 Explanation: The correct answer is A. In the U.S., hepatitis C virus (HCV) is the most common blood-borne infection. HCV is a single-stranded RNA virus that is transmitted by blood-borne transmission or through sexual contact. With the disease being so prevalent—it affects 3.9 million Americans—it is not rare to find a pregnant patient with hepatitis C. In fact, it appears to infect as much as 0.6% of the pregnant population. Studies that have been performed so far show that the rate of infection of infants born to hepatitis C—positive, HIV-negative mothers is about 5%. Hepatitis C transmission through breast milk has not been clearly proven. Breast-fed and bottle-fed infants have a rate of infection that is approximately 4%. Therefore, the patient should be told that casual contact is permitted and that currently there is no evidence that breast-feeding increases HCV transmission to the baby 0 - ArchivalUser - 03-21-2008 A. |