A nurse is teaching a client who has a history of genital herpes and is at 32 weeks of gestation. Which of the following statements should the nurse include in the teaching?

"A caesarean birth is the only way to prevent transmission."

"If you notice genital tingling be sure to notify your provider."

"Hydrotherapy during labor can help reduce transmission."

"The provider will perform weekly visual inspections for lesions."

Answer and Explanation

The Correct Answer is B

A. "A cesarean birth is the only way to prevent transmission." Cesarean delivery is considered if active lesions or prodromal symptoms are present at the time of labor. However, it is not automatically required for all clients with a history of herpes.
B. "If you notice genital tingling be sure to notify your provider." Genital tingling or burning can be a prodromal sign of an impending herpes outbreak. Early reporting allows for appropriate evaluation and potential antiviral treatment to reduce the risk of transmission to the newborn.
C. "Hydrotherapy during labor can help reduce transmission." Hydrotherapy has no effect on herpes virus transmission and is not used for this purpose. Preventing neonatal herpes depends on careful monitoring and antiviral management.
D. "The provider will perform weekly visual inspections for lesions." Routine weekly inspections are not standard unless symptoms suggest an outbreak. Clients are generally monitored and evaluated for lesions closer to labor or if symptoms arise.

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Correct Answer is A

Explanation

A. Occupational therapist. An occupational therapist is the appropriate specialist to assess and assist with fine motor skills and daily living activities, such as eating. They can provide adaptive equipment and training to help the client maintain independence and improve quality of life.
B. Physical therapist. A physical therapist focuses primarily on gross motor skills, mobility, and physical strength, not fine motor control necessary for holding utensils. They are more involved in rehabilitation related to ambulation and transfers.
C. Dietitian. A dietitian helps develop nutritionally appropriate meal plans based on medical conditions and dietary needs. However, they do not address the client’s ability to physically manage eating tools or self-feed.
D. Social worker. A social worker provides support with emotional, financial, and community resources, but does not assist with the physical or mechanical aspects of daily tasks like feeding. They may coordinate care but not deliver direct therapy for motor challenges.

A. Raise the head of the client's bed to a high-Fowler's position. B. Keep an abduction pillow between the client's legs. C. Elevate the client's affected leg on a pillow when in bed. D. Position the client's knees slightly higher than the hips when up in a chair.

Correct Answer is B

Explanation

A. Raise the head of the client's bed to a high-Fowler's position. A high-Fowler's position causes excessive hip flexion, which increases the risk of prosthetic dislocation after hip arthroplasty. Hip flexion should generally not exceed 90 degrees postoperatively.
B. Keep an abduction pillow between the client's legs. An abduction pillow maintains the leg in proper alignment and prevents internal rotation and adduction, which are common mechanisms of hip dislocation after surgery. It is a key intervention in protecting the surgical joint.
C. Elevate the client's affected leg on a pillow when in bed. Elevating the leg is appropriate for reducing swelling, but if not done correctly, it can cause improper hip positioning. It does not prevent dislocation unless combined with other alignment strategies.
D. Position the client's knees slightly higher than the hips when up in a chair. This position promotes hip flexion greater than 90 degrees, which increases the risk of dislocating the hip prosthesis. The hips should remain higher than the knees to prevent excessive flexion.

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A nurse is teaching a client who has a history of genital herpes and is at 32 weeks of gestation. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

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