The 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?
"Transmission can occur via the saliva and urine of the newborn."
"This infection requires that airborne precautions be initiated for the newborn."
"Mothers will receive prophylactic treatment with acyclovir prior to delivery."
“Lesions are visible on the mother's genitalia."
The Correct Answer is A
Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.
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Related Questions
Correct Answer is B
Explanation
Constipation is a common problem for clients who have recently given birth, and suppositories are a common treatment option for constipation. However, suppositories are not appropriate for all clients. Certain conditions can be a contraindication to the use of suppositories, and the nurse should be aware of these conditions.
The nurse should identify that a third-degree perineal laceration is a contraindication to the use of a suppository, as it may cause further trauma to the already injured area. In this case, alternative treatments such as stool softeners or oral laxatives may be more appropriate for the client.
Option A is incorrect because although abdominal distention can be a sign of constipation, it is not a contraindication to the use of a suppository.
Option C is also incorrect because vaginal candidiasis is not a contraindication to the use of a suppository. In fact, suppositories are sometimes used to treat vaginal candidiasis.
Option D is also incorrect because afterpains are not a contraindication to the use of a suppository.
Correct Answer is D
Explanation
The size and shape of the cervix and vagina can change after childbirth, which can affect the fit and effectiveness of the diaphragm. The nurse should instruct the client to see her healthcare provider to be refitted for a new diaphragm.
Option A is incorrect because storing the diaphragm in sterile water is not necessary or recommended. The diaphragm should be cleaned with soap and water and allowed to air dry.
Option B is incorrect because the diaphragm should be removed no sooner than 6 hours after intercourse and can be left in place for up to 24 hours.
Option C is incorrect because oil-based vaginal lubricants can damage latex diaphragms, so water-based lubricants should be used instead.
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