A newly pregnant female is worried about her baby. She recently returned from a mission trip to Africa. She was told there was a rubella outbreak in the next village. She has been given a TORCH screening test
If she has exposed her fetus to rubella, the nurse would expect the infant to display which of the following possible birth defects?
A) Blindness
B) Missing limbs
C) Hydrocephalus
D) Encephalitis
Ans: A
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The acronym TORCH stands for toxoplasmosis, other, rubella (i.e., German measles), cytomegalovirus, and herpes, which are the agents most frequently implicated in fetal anomalies. The TORCH screening test examines the infant's serum for the presence of antibodies to these agents. Although rubella has virtually been eliminated, it remains endemic in many developing countries, where it is the major preventable cause of hearing impairment, blindness, and adverse neurodevelopmental outcome.
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