The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum.
What action should the nurse take in anticipating the plan of care for this patient?

Prepare for a vaginal delivery:.

Administer antiviral medication.

Prepare for a cesarean delivery.

Discharge the patient:

Answer and Explanation

The Correct Answer is C

Choice A (Prepare for a vaginal delivery) is incorrect. Vaginal delivery is generally not recommended for women with active genital herpes lesions present during labor due to the high risk of transmitting the virus to the newborn. This risk is especially high when the mother experiences a primary infection (first outbreak) during the third trimester or has visible lesions at the time of delivery.
Choice B (Administer antiviral medication) is partially correct. While antiviral medications can be helpful in managing and potentially shortening outbreaks, they alone are not enough to prevent transmission during delivery. Antiviral medication can be used in combination with cesarean delivery to further reduce the risk of transmission.
Choice C (Prepare for a cesarean delivery) is correct. A cesarean delivery is the preferred method of delivery for women with active genital herpes lesions present during labor because it significantly reduces the risk of the virus being transmitted to the newborn. This risk can be as high as 50% during vaginal delivery with active lesions, while the risk with cesarean delivery is significantly lower, typically around 1% or less.
Choice D (Discharge the patient) is incorrect. Discharging a patient in active labor with active genital herpes lesions is not a safe or appropriate course of action. The patient needs to be carefully monitored and managed in a healthcare setting to minimize the risk of transmission to the newborn and ensure the safety of both mother and baby.

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Correct Answer is B

Explanation

Choice A rationale
Insufficient dietary intake is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice B rationale
Deficiency in estrogen is the primary cause of hot flashes and night sweats in postmenopausal women. During menopause, the levels of estrogen, a hormone that regulates the body’s temperature among other things, decrease. This can disrupt the body’s temperature control, leading to hot flashes and night sweats.
Choice C rationale
An active lifestyle is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice D rationale
Changes in vaginal pH are not the main cause of hot flashes and night sweats in postmenopausal women.

A. Restore menstrual regularity B. Induce ovulation C. Improve insulin uptake D. Alleviate hirsutism

Correct Answer is A

Explanation

Choice A rationale
Oral contraceptives are often used in the treatment of PCOS to restore menstrual regularity. They do this by regulating the hormonal imbalances that cause the irregular periods seen in PCOS678910.
Choice B rationale
While oral contraceptives can indirectly lead to ovulation in some women with PCOS by regulating their menstrual cycles, they are not typically used to directly induce ovulation. Other medications, such as clomiphene or letrozole, are more commonly used for this purpose.

Choice C rationale
While insulin resistance is a common feature of PCOS, oral contraceptives are not typically used to improve insulin uptake. Other medications, such as metformin, are more commonly used for this purpose.
Choice D rationale
While oral contraceptives can help alleviate hirsutism (excessive hair growth) in women with PCOS by reducing levels of circulating androgens, this is typically considered a secondary benefit rather than the primary rationale for their use.

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The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the context of educating a group of postmenopausal women about hot flashes and night sweats, what would be the main cause the nurse would address?

Correct Answer is B

Explanation

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

Correct Answer is A

Explanation

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What symptom would a nurse anticipate in a patient diagnosed with bacterial vaginosis?

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum.
What action should the nurse take in anticipating the plan of care for this patient?