1) Cytomegalovirus – is an infection contracted by mother during pregnancy that causes neonate

implications of IUGR, Encephalopathy

Exposure to toxoplasmosis, rubella, cytomegalovirus, herpes simplex, and hepatitis B may

adversely affect pregnancy and fetal outcome. TORCH

Cytomegalovirus (CMV) belongs to the herpes simplex virus group and causes both congenital and

acquired disorders. The significance of this virus in pregnancy is related to its ability to be transmitted by

asymptomatic women across the placenta to the fetus or by the cervical route during birth.

the virus is usually innocuous in adults and children,itmaybefataltothefetus.

Asymptomatic CMV infection is particularly commoninchildrenandgravidwomen.Transmissioniscommon

indaycarecenters

2) Who see first? 190 sugar, FHR 160

3) Which food has highest fiber? Oatmeal, asparagus

A: oatmeal, avavados, bananas, pears, split peas, lentils

4) Client who reported abdominal pain upon breast feeding

Why Does It Happen?

The uterus is a muscle, and each pregnancy over-stretches the muscle. Nipple stimulation during

breastfeeding causes a hormone known as oxytocin to be released into your bloodstream. This

hormone causes the contraction of all smooth muscles and helps your uterus contract back into

its pre-pregnancy shape and size. These contractions also help reduce postpartum blood loss, so

although you may be uncomfortable, this cramping is helping your body heal.

What Can You Do?

Don’t be afraid to ask for pain medication while still in the hospital – it will be safe for you and

your baby. You can also give yourself a gentle lower-stomach massage. These afterbirth pains