Immunization and Consumption of Over-the-Counter Drugs during Pregnancy

Chapter 85 Immunization and Consumption of Over-the-Counter Drugs during Pregnancy




Clinical Case Problem 1 A Mother Moving to Nepal


A 26-year-old primigravida who has seen you once for prenatal care comes to your office asking for advice and immunizations. On the basis of your initial history and physical examination, she is at 18   weeks of gestation. Her husband has just accepted a position with a U.S. government agency in Nepal, and she will be moving there with him in 4   weeks. She is very anxious about possible infectious diseases she could contract, including tuberculosis. She recently moved to the area and had been unable to tell you her immunization status at the previous visit because she misplaced her records. She knows she received all the “childhood vaccines” and had a booster of some kind before entering college.



Select the best answer to the following questions




1. Which of the following immunization combinations would be acceptable for administration to this pregnant woman if she has not previously been immunized or received boosters and needs them because of exposure risk?







2. Your patient does not know about the risk of influenza in Nepal, but she will be in her second and third trimesters during the influenza season. Which of the following statements is true about influenza vaccination in pregnancy?







3. Your patient has studied communicable diseases and asks about the new Tdap vaccine to protect her from transmitting pertussis to her newborn infant. You suggest









Clinical Case Problem 3: A Pregnant Patient with 2 Days of Influenza-like Symptoms, Nausea, and Vomiting


A 22-week-gestation primigravida patient of yours presents with a 2-day history of low-grade fever, myalgias, and vomiting once or twice. She received the influenza vaccine (killed) 1   month ago. Her physical examination is unremarkable except for slightly dry mucous membranes, and her laboratory examination is normal.


Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Immunization and Consumption of Over-the-Counter Drugs during Pregnancy

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