A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching?

Choice A reason: Herpes simplex virus is incorrect because it is not the infection described in the question. It is transmitted through direct contact with the skin or mucous membranes of someone who is infected, usually through oral or genital sex. Symptoms include painful blisters and sores in the mouth or genitals. It does not cause life-threatening infections, but it can increase the risk of other sexually transmitted infections.

Choice B reason: Human papillomavirus is incorrect because it is not the infection described in the question. It is transmitted through direct contact with the skin or mucous membranes of someone who is infected, usually through genital sex. Symptoms include genital warts and cervical cancer. It does not cause life-threatening infections, but it can increase the risk of other cancers.

Choice C reason: Human immunodeficiency virus is correct because it is the infection described in the question. It is transmitted through direct contact with the blood or body fluid of someone who is infected, usually through unprotected sex, sharing needles, or passed from a mother to a baby at birth. Symptoms may take 10 years or more to show. Once they appear, the person is susceptible to life-threatening infections, such as pneumonia, tuberculosis, or cancer. This condition is also known as acquired immunodeficiency syndrome (AIDS).

Choice D reason: Cytomegalovirus is incorrect because it is not the infection described in the question. It is transmitted through direct contact with the saliva, urine, or breast milk of someone who is infected, usually through kissing, sexual contact, or breastfeeding. Symptoms are usually mild or absent in healthy people, but they can be serious in people with weakened immune systems or unborn babies. It does not cause life-threatening infections, but it can cause birth defects, hearing loss, or vision problems.

Choice A reason: Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy because it can indicate the well-being of the fetus and the presence of any complications, such as cord compression, prolapse, or infection.

Choice B reason: Observing the color and consistency of fluid is an important nursing action following an amniotomy, but it is not the priority. It can provide information about the gestational age, the presence of meconium, or the risk of infection.

Choice C reason: Assessing the client's temperature is an important nursing action following an amniotomy, but it is not the priority. It can help detect signs of infection, such as chorioamnionitis, which can affect both the mother and the fetus.

Choice D reason: Evaluating the client for the presence of chills and increased tenderness using palpation is an important nursing action following an amniotomy, but it is not the priority. It can also help detect signs of infection, such as chorioamnionitis, which can cause fever, abdominal pain, and uterine contractions.