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 A
Explanation
Three uterine contractions within a 20-min period require intervention by the nurse during a nonstress test at 35 weeks of gestation. The nonstress test is used to assess fetal well-being by monitoring the fetal heart rate (FHR) response to fetal movement. The test is considered reactive if there are two or more accelerations of the FHR within a 20-min period, each lasting at least 15 seconds and peaking at least 15 beats above the baseline. In this scenario, the finding that requires intervention by the nurse is three uterine contractions within a 20-min period. This is because frequent or prolonged contractions can indicate preterm labor, which requires immediate intervention
to prevent premature delivery. The nurse should assess the client for signs and symptoms of preterm labor, such as pelvic pressure, low back pain, vaginal bleeding or discharge, and abdominal cramping. The nurse should also notify the provider and prepare the client for further evaluation and possible interventions, such as tocolytic therapy to stop the contractions.
Correct Answer is B
Explanation
Uterine atony is a condition in which the uterus is not contracting effectively following delivery, which can lead to postpartum hemorrhage. Oxytocin is the first-line medication used to stimulate uterine contractions, but if the client fails to respond to oxytocin, the nurse should anticipate the use of a second-line medication, such as methylergonovine. Terbutaline is a tocolytic medication used to stop contractions, not stimulate them. Betamethasone is a corticosteroid used to promote fetal lung maturity before preterm delivery. Hydralazine is a vasodilator used to treat hypertension, not uterine atony.
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