A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
"Lesions are visible on the mother's genitalia."
"Mothers will receive prophylactic treatment with acyclovir prior to delivery."
"This infection requires that airborne precautions be initiated for the newborn."
"Transmission can occur via the saliva and urine of the newborn."
The Correct Answer is D
"Transmission can occur via the saliva and urine of the newborn." Maternal cytomegalovirus (CMV) is a viral infection that can be transmitted to the fetus during pregnancy or to the newborn during delivery or through breast milk. Lesions on the mother's genitalia are associated with herpes simplex virus, not CMV. Mothers with active CMV infection may not show any symptoms, and there is no specific prophylactic treatment with acyclovir for CMV infection. Airborne precautions are not necessary for newborns with CMV infection since the virus is primarily spread through contact with body fluids, such as saliva and urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. The nurse should verify that informed consent is obtained prior to administration of a dinoprostone insert to induce labor for a client. Instructing the client to avoid urinary elimination until after administration is not necessary. Allowing the medication to reach room temperature prior to administration is also not necessary. Placing the client in a semi-Fowler's position for 1 hr after administration is not necessary.
Correct Answer is C
Explanation
The correct answer is choice C, the newborn's pulse oximetry is 91%. A pulse oximetry reading below 95% indicates hypoxemia, which can occur when the newborn has excessive secretions or a partial airway obstruction. Suctioning the nasopharynx can help to remove the secretions or obstruction and improve the newborn's oxygen saturation. Assessment of the newborn's respiratory rate and pattern, as well as coughing, are important in determining if the newborn needs suctioning. However, the presence of these signs alone does not indicate that suctioning is required. Additionally, a respiratory rate of 32/min is within the normal range for a newborn, so it does not indicate a need for suctioning.
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