Match each TORCH disease with its possible effects on the newborn or characteristics. Diseases may be used more than once or not at all
a. Toxoplasmosis
1. _____ Without intervention, maternal transmission to the fetus is about 25%
b. Rubella
2. _____ The most common viral infection in the fetus
c. Cytomegalovirus
3. _____ Bullae, microcephaly, hydrencephaly, and encephalitis can occur
d. Herpes simplex virus
4. _____ No known risks if infection occurs after 20 weeks' gestation
e. Human immunodeficiency virus (HIV)
5. _____ Late manifestations include keratitis, snuffles, deafness, and bowing of the shins
f. Varicella zoster virus
6. _____ Symptoms in the mother seem to be "flu-like"
g. Syphilis
7. _____ Maternal infection in the first trimester can lead to spontaneous abortion
8._____Maternal infection during the first trimester leads to a 20% chance of fetal infection
ANS:
1e, 2c, 3d, 4f, 5g, 6a, 7c, 8b
Toxoplasmosis has symptoms often referred to as "flu-like." Maternal infection with rubella in the first trimester leads to a 20% chance of the fetus being infected. Cytomegalovirus is the most common viral infection in the fetus, and spontaneous abortion may result from maternal CMV infection in the first trimester. Herpes simplex infection leads to manifestations such as bullae, microcephaly, hydrencepahly, and encephalitis. Without medical intervention, vertical (maternal-to-child) transmission of HIV is about 25%. Varicella zoster virus carries no known risk to the fetus after 20 weeks' gestation. Late syphilis symptoms include keratitis, snuffles, deafness, and bowing of the shins.
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