A woman is diagnosed with primary syphilis during her eighth week of pregnancy. The nurse will plan to teach the patient about the
a. likelihood of a stillbirth.
b. plans for cesarean section
c. intramuscular injection of penicillin.
d. antibiotic eye drops for the newborn.
ANS: C
A single injection of penicillin is recommended to treat primary syphilis. This will treat the mother and prevent transmission of the disease to the fetus. Instillation of erythromycin into the eyes of the newborn is used to prevent gonorrheal eye infections. C-section is used to prevent the transmission of herpes to the newborn. Although stillbirth can occur if the fetus is infected with syphilis, treatment before the tenth week of gestation will eliminate in utero transmission to the fetus.
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