Practice Question
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse notes maternal exposure to rubella during pregnancy. After delivery, the nurse should monitor the newborn for which of the following conditions?
Answer Choices:
Correct Answer:
Deafness.
Rationale:
⭐ Rubella exposure during pregnancy, especially in the first trimester, is a serious risk to the fetus because the virus can cross the placenta and disrupt organ development.
⭐ Congenital rubella syndrome (CRS) is associated with several birth defects, of which sensorineural deafness is the most common and often the earliest detected.
⭐ The developing auditory system is highly sensitive to rubella; damage can occur even if the mother’s infection was in early pregnancy, resulting in permanent hearing loss in the newborn.
⭐ Other classic CRS findings include cataracts, congenital heart defects (like patent ductus arteriosus), and sometimes microcephaly, but deafness is the most frequent sequela.
⭐ Routine newborn screening for hearing loss is important when there has been maternal rubella exposure, even if the infant appears otherwise healthy, to ensure early intervention if deafness is present.
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This question is from ATI PN Maternal Newborn-2021 Exam which contains 57 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Maternal & Newborn Care
- Answer Choices: 4