18)A 32-year-old woman, gravida 3, para 2, at 37 w - alveoli

[ArchivalUser]

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

[ArchivalUser]

Ahaaa! It worked!!!!!

[ArchivalUser]

a.

[ArchivalUser]

lol

[ArchivalUser]

a. There is no evidence

[ArchivalUser]

agreed....

[ArchivalUser]

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

[ArchivalUser]

A.