North American Registry of Midwives (NARM) Practice Exam

Error in which of the following could result in maternal death related to varicella?

1. Missed vaccination

2. Community exposure

3. Diagnosis delay

4. Improper prenatal care

The correct answer is: Diagnosis delay

A delay in diagnosis of varicella (chickenpox) during pregnancy can lead to significant complications, as timely recognition is crucial for managing the condition effectively. Varicella poses risks to both the mother and the fetus, especially if the mother contracts the virus during the later stages of pregnancy. If a healthcare provider does not recognize the symptoms of varicella in a pregnant woman, it can lead to a lack of necessary interventions, which may increase the risk of maternal complications such as pneumonia or severe disease that can culminate in maternal death. Furthermore, an effective response to a varicella diagnosis includes timely administration of antiviral medications and monitoring for complications. If there is a delay, these potentially life-saving measures may be missed, exacerbating the risk to maternal health. Recognizing varicella promptly is essential for the health care team’s proactive management and mitigation of severe outcomes, emphasizing the importance of an accurate and timely diagnosis during pregnancy.