The labor nurse is admitting a patient in active labor with a history of genital herpes.
On assessment, 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 the patient for a cesarean delivery
Take a culture of the lesions to verify the involved organism
Ask the patient if she has had unprotected sex since her outbreak
Use internal electronic fetal surveillance to determine a baseline fetal heart rate
The Correct Answer is A
Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.
Correct Answer is B
Explanation
Choice A rationale
Hyperglycemia, or high blood sugar, is not typically associated with poor feeding and low temperature in infants. It’s more commonly seen in conditions like diabetes.
Choice B rationale
Neonatal infection could cause an infant to feed poorly and have a low temperature. These symptoms could be a sign of sepsis, a serious and potentially life-threatening infection that requires immediate medical attention.
Choice C rationale
Hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made, is not typically associated with poor feeding and low temperature in infants.
Choice D rationale
Prematurity could potentially cause poor feeding and low temperature, but these symptoms would not typically appear suddenly in a well-baby nursery setting.
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