Immunizations in pregnancy — Flashcards

Flashcard 1: Congenital CMV can occur with maternal infection during which trimester(s)?

Answer: Any trimester

Extra: CMV can be transmitted to the fetus during any trimester. - **Transmission risk:** Highest in the **3rd trimester** (~70%). - **Severity of sequelae:** Highest in the **1st trimester** (e.g., hearing loss, microcephaly, intracranial calcifications).

Flashcard 2: Vaginal and rectal culture at 36-37 weeks gestation is performed to identify patients who require intrapartum _____ prophylaxis against S. agalactiae (GBS).

Answer: Penicillin G (preferred) or Ampicillin

Flashcard 3: _____ transmission is the passage of a pathogen from mother to baby during the period immediately before and after birth

Answer: Vertical

Flashcard 4: _____ and progesterone are both used for HRT in post-menopausal women (with an intact uterus) to avoid an increased risk of endometrial cancer.

Answer: Estrogen

Flashcard 5: Define spermatocele.

Answer: Cystic dilation of the epididymal duct containing sperm.

Extra: Clinical features: Typically presents as a painless, transilluminating mass superior to the testicle. Unlike a hydrocele, a spermatocele is distinct from the testis.

Flashcard 6: The umbilical vein carries _____ blood from the _____ to the _____.

Answer: oxygenated

Flashcard 7: There are _____ umbilical arteries and 1 umbilical vein in a normal umbilical cord.

Answer: 2

Flashcard 8: Identify the fluid-filled space surrounding the fetus (labeled 11 in the image):

Answer: amniotic fluid

Flashcard 9: What is the innermost fetal membrane that encloses the amniotic cavity and the embryo?

Answer: Amnion

Flashcard 10: The cytotrophoblast forms the _____ layer of the chorionic villi.

Answer: inner