06-04-2008, 09:48 AM
A 23-year-old woman gravida 2 para 1 is in her 18th week of gestation. There have been no indications of complications to the mother or fetus detected during her regularly scheduled prenatal check-ups. She has received all recommended immunizations and has no medical or family history of serious illness. Current medications are one prenatal vitamin/mineral supplement capsule per day. Today she calls her Ob/Gyn physician and notifies him that her 4-year-old daughter, who is also current for all recommended immunizations, has been running a fever of between 37.9°C (100.2°F) and 38.6°C (101.5° F) for 2 days. This morning the daughter also complained of a headache and muscle aches. Her fever was no longer present but she now has bright red cheeks and a red lacy rash on her chest, abdomen and back. What is an important consideration for the physician regarding any advice to the mother at this time?
Answer Choices Correct answer Your answer
A. If the suspected diagnosis is confirmed, and the mother has contracted her disease, nothing can be done to significantly reduce the probability of a fatal outcome for the fetus
B. Regardless of the mother™s past exposure history to the child™s likely illness, she should receive intravenous (IV) immune globulin as soon as possible
C. The child™s likely condition constitutes a significant increased morbidity risk to the fetus, but no significant increased mortality risk
D. The daughter presents no significant risk to the mother or the fetus
E. The mother should be tested for immune status to parvovirus B-19 as soon as possible and avoid close contact with the child until testing results are known
Explanation
Answer Choices Correct answer Your answer
A. If the suspected diagnosis is confirmed, and the mother has contracted her disease, nothing can be done to significantly reduce the probability of a fatal outcome for the fetus
B. Regardless of the mother™s past exposure history to the child™s likely illness, she should receive intravenous (IV) immune globulin as soon as possible
C. The child™s likely condition constitutes a significant increased morbidity risk to the fetus, but no significant increased mortality risk
D. The daughter presents no significant risk to the mother or the fetus
E. The mother should be tested for immune status to parvovirus B-19 as soon as possible and avoid close contact with the child until testing results are known
Explanation