tommyk
05-20-2006, 05:56 AM
Hy 2223
32-year-old woman, gravida 3, para 2, at 14 weeks' gestation comes to the physician for a prenatal visit. She has some mild nausea, but otherwise no complaints. She has no significant medical problems and has never had surgery. She takes no medications and has no known drug allergies. She is concerned for two reasons. First, the "flu season" is coming, and she seems to get sick every year. Second, a child at her son's daycare center recently broke out with welts and was sent home. Which of the following vaccinations should this patient most likely be given?
1-Varicella
2-Rubella
3-Rosacea
4-Sypillis
5-HIV
6-Influenza
7-Mumps
8-Measles
ans) #6. Influenza. Influenza pneumonia during pregnancy can be a severe illness. Normally "the flu" is a self-limited illness that lasts 3-4 days and produces few major sequelae. However, patients with influenza pneumonia during pregnancy can develop high fever, malaise, cough, and headache. In some cases a bacterial superinfection will occur (often with Staphylococcus aureus), which can lead to peribronchial infiltrates, cavitation, and a pleural effusion. Current recommendations are that pregnant women who will be in the second or third trimester during the flu epidemic season should be given the influenza vaccination. Also, pregnant women with significant medical problems should be given the vaccination before the influenza season, regardless of trimester. The measles, mumps, and rubella vaccines are live attenuated vaccines. Their use during pregnancy is contraindicated.The varicella vaccination is used to prevent chickenpox. It is a live-virus vaccine; therefore, its use during pregnancy is also contraindicated.
32-year-old woman, gravida 3, para 2, at 14 weeks' gestation comes to the physician for a prenatal visit. She has some mild nausea, but otherwise no complaints. She has no significant medical problems and has never had surgery. She takes no medications and has no known drug allergies. She is concerned for two reasons. First, the "flu season" is coming, and she seems to get sick every year. Second, a child at her son's daycare center recently broke out with welts and was sent home. Which of the following vaccinations should this patient most likely be given?
1-Varicella
2-Rubella
3-Rosacea
4-Sypillis
5-HIV
6-Influenza
7-Mumps
8-Measles
ans) #6. Influenza. Influenza pneumonia during pregnancy can be a severe illness. Normally "the flu" is a self-limited illness that lasts 3-4 days and produces few major sequelae. However, patients with influenza pneumonia during pregnancy can develop high fever, malaise, cough, and headache. In some cases a bacterial superinfection will occur (often with Staphylococcus aureus), which can lead to peribronchial infiltrates, cavitation, and a pleural effusion. Current recommendations are that pregnant women who will be in the second or third trimester during the flu epidemic season should be given the influenza vaccination. Also, pregnant women with significant medical problems should be given the vaccination before the influenza season, regardless of trimester. The measles, mumps, and rubella vaccines are live attenuated vaccines. Their use during pregnancy is contraindicated.The varicella vaccination is used to prevent chickenpox. It is a live-virus vaccine; therefore, its use during pregnancy is also contraindicated.