When a pregnant patient has genital herpes, for which complication is the patient at higher risk than the general population?

Forceps-assisted second stage of labor.

Precipitous delivery.

Prolonged first phase of labor.

Cesarean delivery.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Cesarean delivery. A pregnant patient with genital herpes is at higher risk of transmitting the infection to the baby during vaginal delivery, especially if there is an active outbreak near the time of birth. This can cause serious complications for the baby, such as brain damage, eye problems, or even death. Therefore, a cesarean delivery is recommended to avoid contact between the baby and the genital lesions.

Choice A is wrong because forceps-assisted second stage of labor is not a complication of genital herpes.

It is a method of assisted delivery that may be used for various reasons, such as fetal distress, maternal exhaustion, or abnormal presentation.

Choice B is wrong because precipitous delivery, which means a very fast labor and delivery, is not a complication of genital herpes.

It may be caused by factors such as multiparity, strong contractions, or previous rapid deliveries.

Choice C is wrong because prolonged first phase of labor, which means a slow dilation of the cervix, is not a complication of genital herpes.

It may be caused by factors such as ineffective contractions, large fetal size, or malposition.

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Correct Answer is D

Explanation

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.

A. The newborn’s nostrils flare slightly during respiration. B. The newborn’s hands and feet are blue and feel cool. C. The newborn’s eyes move randomly when his head is turned to the side. D. The newborn’s tongue thrusts forward when it is lightly touched.

Correct Answer is A

Explanation

The correct answer is choice A. The newborn’s nostrils flare slightly during respiration.This is a sign of respiratory distress in a newborn.

Flaring nostrils indicate that the newborn is working hard to breathe and may not be getting enough oxygen.

Choice B is wrong because the newborn’s hands and feet are blue and feel cool.This is a normal finding called acrocyanosis, which occurs due to immature peripheral circulation.

It usually resolves within 24 to 48 hours after birth.

Choice C is wrong because the newborn’s eyes move randomly when his head is turned to the side.This is a normal finding called nystagmus, which occurs due to immature eye muscles and coordination.

It usually disappears by 6 months of age.

Choice D is wrong because the newborn’s tongue thrusts forward when it is lightly touched.This is a normal finding called the extrusion reflex, which helps the newborn to suck and swallow.

It usually fades by 4 months of age.

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When a pregnant patient has genital herpes, for which complication is the patient at higher risk than the general population?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is assessing a newborn. Which finding may indicate a problem?

Correct Answer is A

Explanation

A nurse is caring for a female client who suspects she is pregnant. Which question, if asked by the nurse, is consistent with signs of early pregnancy?

A patient’s amniotic fluid is meconium-stained. Which action should the nurse plan to take?

A patient who is 26 weeks pregnant has gestational diabetes and is to begin insulin management. When discussing the patient’s insulin needs, which information should the nurse include?

A nurse is reviewing laboratory results of a pregnant patient.Which result will require further assessment?

In planning the postpartum care of a multipara who had a normal pregnancy, labor, and delivery, which factor should be considered? The client needs to have:

When a pregnant patient has genital herpes, for which complication is the patient at higher risk than the general population?

A client who is two weeks postpartum calls the office and tells a nurse, "l am having a small amount of brownish discharge from my vagina." Which response is appropriate for the nurse to make?

he nurse instructs a woman who is attending the infertility clinic about strategies designed to facilitate conception. Which statement by the patient would indicate that she understands the instructions?