North American Registry of Midwives (NARM) Practice Exam

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Approximately what percentage of women with untreated syphilis experience fetal or neonatal loss?

The correct answer is: 40%

The correct answer, which states that approximately 40% of women with untreated syphilis experience fetal or neonatal loss, is grounded in the serious implications of syphilis on pregnancy outcomes. Syphilis, a sexually transmitted infection, can significantly affect both maternal and fetal health. When left untreated, syphilis can lead to various complications during pregnancy, including fetal demise, stillbirth, and neonatal death. The statistic indicating that around 40% of fetuses may be lost underscores the urgency of early detection and treatment of syphilis in pregnant women. Syphilis can cross the placenta, leading to severe consequences for the fetus, which can result in these alarming rates of loss. This information is crucial for midwives and healthcare providers, emphasizing the importance of screening pregnant women for syphilis and providing appropriate treatment to improve outcomes for both mothers and their infants. The other percentages suggest either a lower or higher risk, which does not align with the established data on untreated syphilis in pregnancy. Understanding the substantial risk associated with untreated syphilis helps reinforce the critical nature of preventative measures and early interventions in midwifery practice.