Prevention of Mother-to-Child (Perinatal) Transmission of Hepatitis B

You answered:

A No testing for hepatitis B is indicated since it is highly likely that she received hepatitis B vaccine as a child or as an adolescent.

This answer is incorrect. The Advisory Committee on Immunization Practices (ACIP) did not recommend routine childhood immunization with hepatitis B vaccine until 1991, so it is unlikely this patient was vaccinated as a child or an adolescent.  In addition, regardless of hepatitis B immunization status or the patient’s risk factors, hepatitis B surface antigen (HBsAg) should be checked in all pregnant women.

Choose another answer:

B No testing for hepatitis B is indicated; begin a three dose series of hepatitis B vaccine.
C Check her serum for hepatitis B surface antigen (HBsAg).
D Check her serum for antibody to hepatitis B e antigen (anti-HBe).

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