A nurse is providing education about TORCH infections to a pregnant client and her partner.
The nurse identifies that the client is at risk for which infection?
Cytomegalovirus.
Herpes Simplex Virus.
Hepatitis B.
Rubella.
Toxoplasmosis.
Correct Answer : A,B,D,E
E.
Choice A rationale
Cytomegalovirus (CMV) is a common infection that can be transmitted to the fetus, leading to serious complications such as hearing loss, vision impairment, and developmental delays. It is one of the TORCH infections.
Choice B rationale
Herpes Simplex Virus (HSV) can be transmitted to the baby during delivery, especially if there is an active outbreak. It can cause severe neonatal infections, making it a significant concern during pregnancy.
Choice C rationale
Hepatitis B is not classified under the TORCH infections. While it is a serious concern in pregnancy, it is typically managed through vaccination and other precautions to prevent vertical transmission to the baby.
Choice D rationale
Rubella is part of the TORCH complex and can lead to congenital rubella syndrome, causing serious birth defects such as heart problems, developmental delays, and hearing loss if the mother contracts it during pregnancy.
Choice E rationale
Toxoplasmosis is included in the TORCH infections and can cause severe fetal complications such as brain damage, vision problems, and developmental delays if the mother is infected during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Preeclampsia is concerning but the blood pressure of 138/82 mm Hg is not critically high at this moment. Preeclampsia is diagnosed by new-onset hypertension and proteinuria or significant end-organ dysfunction in the latter half of pregnancy. Immediate intervention isn't necessary unless symptoms worsen.
Choice B rationale
PPROM (Preterm Premature Rupture of Membranes) at 29 weeks gestation with a temperature of 39.1°C (102.3°F) suggests a possible infection which can be life-threatening for both the mother and the fetus. Prompt medical attention is critical to manage the infection and prevent sepsis.
Choice C rationale
Hyperemesis gravidarum, while uncomfortable and requiring intervention, is less immediately threatening compared to a severe infection. It involves excessive vomiting leading to dehydration and weight loss but doesn't pose an acute threat as severe infection does.
Choice D rationale
Placenta previa with no vaginal bleeding for the last 12 hours indicates stability. However, any bleeding during pregnancy can be concerning and needs careful monitoring, but immediate intervention is not as crucial as for an infection.
Correct Answer is C
Explanation
Choice A rationale
HELLP syndrome includes elevated LDH levels, indicating hemolysis, not decreased levels.
Choice B rationale
HELLP syndrome involves hemolysis, reducing red blood cells, not increasing their production.
Choice C rationale
Elevated liver enzymes are a key feature of HELLP syndrome, reflecting liver damage.
Choice D rationale
HELLP syndrome is characterized by low platelets (thrombocytopenia), not increased platelets.
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