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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

he correct answer is choice B. Sufficient perfusion and circulation of the fetus.This is because the fetal heart rate is within the normal range of 110 to 160 beats per minute, and there is moderate beat-to-beat variability, which indicates a healthy nervous system.

Choice A is wrong because insufficient perfusion of the placenta would cause fetal distress and abnormal fetal heart rate patterns, such as late decelerations or minimal variability.

Choice C is wrong because maternal hypoxia would not directly affect the fetal heart rate, unless it leads to placental insufficiency or uterine hyperstimulation.

Choice D is wrong because fetal hypoxia would cause signs of fetal distress, such as tachycardia, bradycardia, or absent variability.

A. “I should expect a few spots of blood on my underwear because I have more blood in my body now.”. B. “Clear fluid will leak from my vagina if my baby is surrounded by too much water in my womb.”. C. “If I begin to see dark patches on my face, it means that my blood pressure is rising.”. D. “If I feel like I have butterflies in my stomach, it means my baby is moving.”.

Correct Answer is D

Explanation

The correct answer is choice D. If the client feels like she has butterflies in her stomach, it means her baby is moving.

This is a normal and expected change during pregnancy, especially in the second and third trimesters.The baby’s movements can be felt as flutters, kicks, or rolls.

Choice A is wrong because spotting of blood on the underwear is not a normal change during pregnancy.

It can indicate a problem such as placenta previa, placental abruption, or miscarriage.Any bleeding during pregnancy should be reported to the health care provider.

Choice B is wrong because clear fluid leaking from the vagina is not a normal change during pregnancy.

It can indicate that the membranes have ruptured and amniotic fluid is escaping.

This can lead to infection and preterm labor if not treated promptly.Any fluid leakage during pregnancy should be reported to the health care provider.

Choice C is wrong because dark patches on the face are not a sign of high blood pressure during pregnancy.

They are called melasma or chloasma and are caused by increased pigmentation due to hormonal changes.They usually fade after delivery and are not harmful.High blood pressure during pregnancy can cause symptoms such as headache, blurred vision, swelling, and protein in the urine.

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Naxlex Comprehensive Predictor Exams

A nurse is observing the internal fetal monitor readings of a laboring client.The fetal heart rate is between 130 and 138 beats per minute, with moderate beat-to-beat variability. How should the nurse interpret this finding?

Correct Answer is B

Explanation

The nurse provides a 16-year-old client with information concerning expected and possible changes during pregnancy. Which statement, if made by the client, would indicate that she understands the information?

Correct Answer is D

Explanation

A client in preterm labor is managed with terbutaline. Which will a nurse need to consider in planning care for this client?

A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried. My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.

A newborn develops hyperbilirubinemia when 24 hours old and is prescribed phototherapy. Which measure is an important part of this newborn’s care plan?

On her second postpartum day, the mother of a newborn says, “The doctor says the baby has physiologic jaundice. Even though it is supposed to be normal, I don’t understand why it occurs.” Which fact regarding physiologic jaundice should form the basis of the nurse’s response?

A patient who is 38 weeks pregnant is admitted to the hospital in active labor. On admission, the patient says, “For the past ten hours, I have been leaking small amounts of urine.” Which action should the nurse take initially?

A client had a laparoscopic bilateral tubal ligation (BTL) in the delivery room. Which intervention should a nurse plan to include in this client’s postoperative care?