The nurse is caring for a pregnant client who has a rubella infection.
Which of the following issues is the client's fetus at risk of developing? Select all that apply.
The nurse is caring for a pregnant client who has a rubella infection.
Which of the following issues is the client's fetus at risk of developing? Select all that apply.
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Health Promotion/Disease Prevention
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice A is correct. If pregnant women become infected with rubella, their infants are more likely to suffer from intrauterine growth restriction (IUGR). IUGR occurs when placental perfusion decreases the supply of glucose and oxygen to the fetus. This causes the infant to be small for gestational age (SGA).
Choice C is correct. Hydrocephaly, or the enlargement of the infant's head with fluid, can be a result of a pregnant woman becoming infected with rubella.
Choice E is correct. Pregnant women infected with rubella are at an increased risk of having a miscarriage or a stillbirth. The greatest risk to the fetus is during the first trimester, when the fetal organs are developing.
Choice B is incorrect. Hemolytic disease of the newborn is an alloimmune condition that occurs when the mother is Rh-negative and is pregnant with an Rh-positive baby.
Choice D is incorrect. Women infected with rubella while pregnant are not at an increased risk for delivering an infant who is large for gestational age (LGA).
Related Videos
2 Key Topics
Fetus in Utero
28.1 Pregnancy Basics & Early Assessment
Additional Info
✓ The rubella virus is transmitted through droplets or direct contact with items contaminated by nasopharyngeal secretions.
✓ Deafness, developmental delay, cataracts, cardiac defects, and IUGR are the most common fetal complications of rubella.
✓ Prevention is the only protection for the fetus. Women who are not immune to rubella should be vaccinated before becoming pregnant.
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