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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. This option is incorrect because the development of breast tissue in newborns is not directly related to the mother’s hormone levels during pregnancy. Newborns typically have breast buds regardless of maternal hormone variations.

B. A flat areola with no breast bud is a characteristic finding in preterm newborns. Breast tissue development is one of the physical markers used to assess gestational age, and the lack of a breast bud is an indicator of immaturity, suggesting a preterm gestational age.

C. Ambiguous secondary sex characteristics are not related to the presence or absence of breast buds in newborns. This option focuses on sexual development rather than gestational markers.

D. A flat areola with no breast bud is a normal finding in preterm infants and does not indicate a congenital anomaly. This condition is expected in preterm newborns based on their developmental stage.

A. "I can have a mid-day snack with soft cheese." B. "I can eat grilled chicken on a bun at lunch time." C. "I can purchase a seafood salad from the grocery store." D. "I can still have a hot dog at the ballpark."

Correct Answer is B

Explanation

The client who understands the teaching on listeriosis and dietary modifications during pregnancy states that they can eat grilled chicken on a bun at lunchtime. Listeriosis is a bacterial infection that can cause miscarriage, stillbirth, or severe illness in newborns. Clients should avoid certain high-risk foods during pregnancy, such as soft cheeses, deli meats, seafood salads, and hot dogs. Grilled chicken on a bun is a safe option for the client to consume.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?

Correct Answer is B

Explanation

A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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