Author: Helen Mackey / Editor: Sarah Edwards / Reviewer: Rebecca Ford / Codes: ObC3, SLO1 / Published: 02/11/2021 / Reviewed: 26/05/2025
A 32-year-old woman brings her 4-year-old toddler to the paediatric Emergency Department (ED) on a Thursday night. The child has a fever, sore throat and a widespread itchy, vesicular rash that Mum says came on 2 days ago.
The child is generally well and appropriate for discharge with a diagnosis of uncomplicated Chickenpox. As they leave, you note that Mum is pregnant. She confirms to you she is 25 weeks pregnant. She is unsure if she has ever had chickenpox as a child and has never been tested.
Exam Summary
0 of 3 Questions completed
Questions:
Information
You have already completed the exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the exam.
You must first complete the following:
Results
Results
Time has elapsed
Categories
- Not categorized 0%
- 1
- 2
- 3
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 3
1. Question
Which of the situations below count as ‘significant exposure’ to the Varicella-zoster virus? (Select all that apply)
CorrectIncorrect -
Question 2 of 3
2. Question
Luckily, Mum has registered for antenatal care at your hospital and you are able to arrange for her booking bloods to be tested for Varicella-zoster virus Immunoglobulin G antibodies (VZV IgG). The results are likely to be back in 24 hours so you arrange follow up with maternity services tomorrow. She is anxious about the result and wants to know the next steps.
Which is the most likely?
CorrectIncorrect -
Question 3 of 3
3. Question
Her results showed no pre-existing immunity, but she declined aciclovir treatment, and unfortunately, she turns up 2 weeks later feeling generally well but with a new-onset vesicular rash.
What should you do now?
CorrectIncorrect
Module Content
Related Posts
Bleeding in Pregnancy
This session covers the emergency management of both bleeding in early pregnancy and antepartum haemorrhage (APH) Appropriate investigation and initial emergency interventions are considered including rhesus status and the administration of anti-D immunoglobulin.
Complications of Chickenpox in Children
Severe complications of chickenpox that can lead to hospitalisation.
Medical Assessment of the Pregnant Patient in the Emergency Department
This blog isn’t an all-encompassing guide, but suggestions of some of the more common considerations about managing pregnant patients in the ED.
8 responses
useful article
good revision of chicken pox
Good
good
very good revision
Good case! It is not uncommon to be faced with this scenario in an ED.
Good summary of key points and useful resources, thanks
Nice revision