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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
An episiotomy is a surgical incision made in the perineum to enlarge the vaginal opening during delivery. A midline episiotomy is an incision made in the midline of the perineum, which has been associated with a higher risk of infection than a mediolateral episiotomy.
Option B is incorrect because meconium-stained fluid does not necessarily place the postpartum client at increased risk for infection. However, it can indicate that the fetus was stressed during delivery and may require additional monitoring after birth.
Option C is also incorrect because gestational hypertension, while it can lead to complications during pregnancy and delivery, does not necessarily place the postpartum client at increased risk for infection.
Option D is also incorrect because placenta previa is a condition in which the placenta is low-lying and can partially or completely cover the cervix. It can cause bleeding during pregnancy and delivery but does not necessarily place the postpartum client at increased risk for infection.
Correct Answer is D
Explanation
Cytomegalovirus (CMV) is a viral infection that can cause serious health problems for newborns if acquired in utero. Some newborns may appear asymptomatic at birth but later develop complications such as hearing loss, intellectual disability, and vision problems. The virus can be transmitted through bodily fluids such as saliva, urine, and breast milk, and can be especially dangerous for premature infants or those with weakened immune systems. While macrosomia (large body size) and urinary tract infections are possible complications in newborns, they are not typically associated with CMV. Cataracts may also occur in infants with congenital CMV, but hearing loss is a more common complication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today