During a clinic visit, a client reports to the nurse that she is having burning and numbness in her perineal area.
Further investigation reveals the client has herpes simplex virus (HSV) type II. Which information concerning herpes infection during pregnancy should the nurse include in the teaching plan for this client?
Herpes which appears initially during a pregnancy rarely reappears after delivery.
Weekly cultures of the herpes site will be performed during the last trimester of pregnancy.
It is rare to have more than one herpes outbreak during a pregnancy.
It will be necessary for a Cesarean section when labor begins.
The Correct Answer is D
The correct answer is choice D. It will be necessary for a Cesarean section when labor begins. This is because a pregnant person with herpes simplex virus (HSV) type II can pass the infection to the baby during childbirth, which can be life-threatening. A Cesarean section can lower the risk of infection by avoiding contact with the virus in the genital area.
Choice A is wrong because herpes can recur after delivery, especially if the person has a history of genital herpes before pregnancy. Choice B is wrong because weekly cultures of the herpes site are not recommended during pregnancy, as they are not reliable indicators of viral shedding or risk of transmission. Choice C is wrong because it is possible to have more than one herpes outbreak during pregnancy, especially if the person has a primary or nonprimary first-episode infection in the third trimester.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice B. Test the patient’s vaginal secretions with nitrazine paper.
This is because the patient may be leaking amniotic fluid rather than urine, and nitrazine paper can help differentiate between the two by testing the pH level.Amniotic fluid is alkaline and will turn the paper blue, while urine is acidic and will turn the paper yellow.
Choice A is wrong because checking the patient’s bladder for distention will not help determine if the patient is leaking amniotic fluid or urine.
Choice C is wrong because checking the patient’s urine for glucose content will not help determine if the patient is leaking amniotic fluid or urine.
Glucose content may be elevated in patients with gestational diabetes, but this is not related to the patient’s complaint.
Choice D is wrong because obtaining a specimen of the patient’s vaginal secretions for culture will not help determine if the patient is leaking amniotic fluid or urine.
Culture may be done to check for infections, but this is not the initial action that the nurse should take.
Correct Answer is D
Explanation
The correct answer is choice D. The fluid that the mother has in her breasts before the milk comes in is called colostrum, which is rich in antibodies and nutrients that the baby needs.
It also helps to prevent jaundice by stimulating the baby’s bowel movements.
Therefore, the nurse should encourage the mother to breastfeed as soon as possible after birth and explain the benefits of colostrum.
Choice A is wrong because it discourages breastfeeding and may interfere with milk production and bonding.
Choice B is wrong because it implies that breastfeeding is only a skill and not a natural process that benefits both the mother and the baby.
Choice C is wrong because it focuses on the emotional aspect of breastfeeding and not the physiological one.
While breastfeeding may enhance the closeness between the mother and the baby, it is not the only reason to breastfeed.
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