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A 17-year-old girl at 21 weeks gestation presents with a rash on the dorsal side of her right hand. She says that “at first it hurt, and I scratched it, then it came out with this rash.” She has had all of her vaccines and had chicken pox as an infant at 4 months. The rash consists of crops of vesicular lesions that are erythematous at their base, with a “rose petal with dew drops” appearance. It seems to be solely within the T1 dermatome. The patient is not as concerned about her own health as the health of her baby. She asks if this virus will likely be passed on to the newborn. What is the correct response? A. Herpes zoster infection during pregnancy can cause congenital abnormalities. B. Maternal herpes zoster infection does not pose the same risk to fetuses as a maternal varicella infection. C. Cephalosporin will take care of this minor case of folliculitis. D. This is likely rubella, and it is wise to consider whether this fetus will be viable.
SCIENCE
HEALTH SCIENCE
NURSING

 
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