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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C, the client who has hyperemesis gravidarum and a sodium level of 110 mEq/L should be assessed first. This client's low sodium level indicates hyponatremia, which can lead to seizures and brain damage if not corrected promptly. The nurse should assess the client's neurologic status, including level of consciousness, reflexes, and motor function, and notify the provider immediately. The other clients also require close monitoring and intervention, but their conditions are not as urgent as the client with hyponatremia. Clients with preeclampsia require monitoring of blood pressure and kidney function, clients with placenta previa require monitoring of bleeding and hematocrit levels, and clients with diabetes mellitus require monitoring of blood glucose levels and HbA1c.
Correct Answer is D
Explanation
A. Initiate oxytocin via continuous IV infusion: Oxytocin stimulates uterine contractions, which would increase pressure on the umbilical cord, further compromising fetal oxygenation. This action is contraindicated in the presence of a prolapsed cord.
B. Place the client in the left-lateral position: Although the left-lateral position improves uteroplacental perfusion, it does not relieve pressure on the prolapsed cord. Instead, the nurse should position the client in a knee-chest or Trendelenburg position to reduce cord compression.
C. Request that the provider insert an intrauterine pressure catheter: Intrauterine pressure catheters are contraindicated in cases of umbilical cord prolapse as they can worsen cord compression and fetal hypoxia.
D. Exert continuous upward pressure on the presenting part: This action helps relieve pressure on the umbilical cord, improving blood flow and oxygen supply to the fetus. The nurse should maintain this position while simultaneously calling for immediate assistance and preparing the client for an emergency cesarean delivery.
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