A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
What information should the nurse give to the client?
A cesarean section will be necessary if vaginal lesions are present at the time of labor.
Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.
The newborn will be observed and treated in the neonatal intensive care unit.
Total abstinence from sexual intercourse is necessary during the entire pregnancy.
Administer Valacyclovir daily after 36 weeks of pregnancy
Correct Answer : A,E
Choice A rationale
A cesarean section will be necessary if vaginal lesions are present at the time of labor. This is to prevent the transmission of the herpes virus to the baby during delivery, which can lead to serious complications such as neonatal herpes, a potentially deadly infection.
Choice B rationale
While sitz baths can help alleviate the discomfort caused by genital herpes lesions, they do not directly protect the fetus from herpes infection. The primary purpose of sitz baths in this context is to provide symptomatic relief to the mother.
Choice C rationale
The newborn will not necessarily be observed and treated in the neonatal intensive care unit just because the mother has genital herpes. The need for neonatal intensive care would depend on various factors, including whether the baby contracts the virus during delivery.
Choice D rationale
Total abstinence from sexual intercourse is not necessary during the entire pregnancy. However, it is recommended to abstain from sexual intercourse during active outbreaks to reduce the risk of transmission.
Choice E rationale
Daily administration of Valacyclovir (Valtrex) is necessary after the 36th week of pregnancy. This is known as suppressive therapy, which can help reduce the risk of an outbreak at the time of delivery and thereby reduce the risk of transmitting the virus to the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A rationale
Abundant lanugo, which is fine hair, is not typically seen in postmature babies. It is more common in babies who are born prematurely.
Choice B rationale
A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.
Choice C rationale
Vernix, a white creamy substance that protects the baby’s skin in the womb, is usually absent or very scant in postmature babies.
Choice D rationale
Short, soft fingernails are not a specific sign of postmaturity. Newborns’ fingernails can vary, and they often grow quickly after birth.
Choice E rationale
Cracked, peeling skin is commonly seen in postmature babies. Their skin can often appear dry and wrinkled.
Correct Answer is C
Explanation
Question: Estimated due date using Nägele’s Rule.
Step 1: Add 7 days to the first day of the last menstrual period. May 4 + 7 days = May 11
Step 2: Subtract 3 months from the result. May 11 - 3 months = February 11
Step 3: Add 1 year to the result. February 11 + 1 year = February 11, 2024
Answer: February 11, 2024
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