Q4 obs(SM) - medplus254

[ArchivalUser]

A 28-year-old G1P0 woman at 28 weeks’ GA comes to your office for a routine prenatal visit. She works as a kindergarten teacher and one of her students was recently sent home with a rash and fever. She states that the child had a rash on both cheeks and the pediatrician said it was a viral infection called fifth disease. She relates the baby is moving well and denies any vaginal bleeding, abnormal vaginal discharge, or contractions. She wonders if she needs any more testing to see if she has been affected.You send serologies for the agent above and they come back showing the patient has a positive IgM and negative IgG con-sistent with an acute infection. What is the most common fetal/neonatal complication of this infection during pregnancy?
a. Fetal anemia
b. Preterm labor
c. Premature preterm ROM
d. Fetal anomalies
e. Oligohydramnios

[ArchivalUser]

A-- but I'm guessing.

It causes aplastic crisis and bone marrow suppression in sickle cell patients, so seems like it would do something similar.

Prob can cause all the rest too.

[ArchivalUser]

B19.Fifth Disease..Erythema Infectiosum...Slapped Cheeks..

Attack immature Fetal RBC..>>Non Immune Hydrops Fetalis...Aplastic Anemia


AAAA

[ArchivalUser]

Erythroblastosis fetalis in neonates during maternal infection..
So this will result in aplastic crises as well as fetal hydrops...
But most common fetal anemia??
A

[ArchivalUser]

yeah aa..

[ArchivalUser]

yes correct A

how would you diagnose anemia in fetus ?

[ArchivalUser]

@medplus:you mean PUBS?

[ArchivalUser]

@sweety welcome back hope u r fine.

Doppler velocimetry to examine the peak sys-tolic velocity of the middle cerebral artery (MCA). Increases in peak systolic velocity are associated with fetal anemia.is more precise to and less invasive to diagnose anemia and then use PUBS for transfusion

this is accord to blueprints