A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
What information should the nurse give to the client?

A cesarean section will be necessary if vaginal lesions are present at the time of labor.

Sitz baths need to be taken every 4 hours while awake if vaginal lesions are present.

The newborn will be observed and treated in the neonatal intensive care unit.

Total abstinence from sexual intercourse is necessary during the entire pregnancy.

Administer Valacyclovir daily after 36 weeks of pregnancy

Answer and Explanation

Correct Answer : A,E

Choice A rationale
A cesarean section will be necessary if vaginal lesions are present at the time of labor. This is to prevent the transmission of the herpes virus to the baby during delivery, which can lead to serious complications such as neonatal herpes, a potentially deadly infection.
Choice B rationale
While sitz baths can help alleviate the discomfort caused by genital herpes lesions, they do not directly protect the fetus from herpes infection. The primary purpose of sitz baths in this context is to provide symptomatic relief to the mother.

Choice C rationale
The newborn will not necessarily be observed and treated in the neonatal intensive care unit just because the mother has genital herpes. The need for neonatal intensive care would depend on various factors, including whether the baby contracts the virus during delivery.
Choice D rationale
Total abstinence from sexual intercourse is not necessary during the entire pregnancy. However, it is recommended to abstain from sexual intercourse during active outbreaks to reduce the risk of transmission.
Choice E rationale
Daily administration of Valacyclovir (Valtrex) is necessary after the 36th week of pregnancy. This is known as suppressive therapy, which can help reduce the risk of an outbreak at the time of delivery and thereby reduce the risk of transmitting the virus to the baby.

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Correct Answer is C

Explanation

Choice A rationale
Introducing solid foods to a baby at 3 months old is not recommended. The American Academy of Pediatrics suggests exclusive breastfeeding for the first 6 months of life.
Choice B rationale
The American Dental Association recommends that a child is at least 6 months old before they start using fluoride supplements, and only if the child is at high risk for tooth decay and the primary drinking water source is deficient in fluoride.
Choice C rationale
Waiting to give fruit juice until a baby is 6 months old is a correct practice. The American Academy of Pediatrics recommends that fruit juice should not be introduced into the diet of infants before 6 months of age.
Choice D rationale
Introducing cow’s milk when a baby is 9 months old is not recommended. The American Academy of Pediatrics advises against introducing cow’s milk until a child is 12 months old.

A. Uteroplacental insufficiency. B. Spontaneous rupture of membranes. C. Altered fetal cerebral blood flow. D. Umbilical cord compression.

Correct Answer is A

Explanation

Choice A rationale
Fetal head compression is typically caused by uterine contractions during labor. As the uterine muscles get tighter and shorter, the size of the uterus decreases, thereby limiting the available space for the fetus.
Choice B rationale
Spontaneous rupture of membranes is not typically associated with fetal head compression.
Choice C rationale
Altered fetal cerebral blood flow is not typically associated with fetal head compression.
Choice D rationale
Umbilical cord compression is typically associated with variable decelerations in the FHR, not fetal head compression.

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A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. What information should the nurse give to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional guidance to a parent of a newborn. Which statement by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

What could be the cause of fetal head compression?

Correct Answer is A

Explanation

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A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client’s oral temperature is 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?

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A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply)

A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus.
What information should the nurse give to the client?