A teenager presents to the clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)

Penicillin

Perineal care of genital lesions

Use of barrier protection

Gardasil injection

Hand washing

Answer and Explanation

Correct Answer : B,C,E

A. Penicillin
Penicillin is an antibiotic used for bacterial infections, not viral infections like HSV-2. Herpes simplex virus requires antiviral medications such as acyclovir, valacyclovir, or famciclovir for symptom management.

B. Perineal care of genital lesions
Proper perineal care helps prevent secondary infections and promotes healing. The client should be advised to keep the area clean and dry, avoid irritating soaps, and wear loose-fitting clothing.

C. Use of barrier protection
Consistent use of barrier protection (e.g., condoms) reduces the risk of transmitting HSV-2 to sexual partners. The client should be educated that HSV-2 can be transmitted even when lesions are not visible due to asymptomatic viral shedding.

D. Gardasil injection
Gardasil is a vaccine that protects against certain strains of Human Papillomavirus (HPV), not HSV-2. While both HSV-2 and HPV are sexually transmitted infections, they are caused by different viruses and require different preventive measures.

E. Hand washing
Proper hand hygiene prevents the spread of HSV-2 from touching lesions and transferring the virus to other body areas or individuals. Clients should be advised to wash hands thoroughly after touching affected areas.

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Correct Answer is B

Explanation

A. Retained placental fragments
This is incorrect because retained placental fragments are more commonly associated with prolonged third-stage labor or incomplete placental expulsion, rather than fetal macrosomia.

B. Uterine atony
This is correct because a large baby (macrosomia) causes overdistension of the uterus, increasing the risk of uterine atony (failure of the uterus to contract effectively). This can lead to postpartum hemorrhage.

C. Puerperal infection
This is incorrect because puerperal infection is usually related to prolonged rupture of membranes, poor hygiene, or invasive procedures, rather than fetal size alone.

D. Thrombophlebitis
While pregnancy increases the risk of clot formation, the most immediate concern for this client is uterine atony and postpartum hemorrhage.

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby

Correct Answer is D

Explanation

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively
Mild anxiety about the baby’s health is a common experience for new mothers and does not necessarily indicate PPD. It becomes concerning if anxiety becomes overwhelming or interferes with daily functioning.

B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood
Mood swings and irritability are normal postpartum adjustments, often due to hormonal changes, sleep deprivation, and new responsibilities. These symptoms typically resolve within a few weeks.

C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn
Feeling overwhelmed and sleep disturbances are common in the postpartum period due to frequent infant care needs. However, severe or persistent sleep disturbances, especially with loss of interest in daily activities, may indicate PPD.

D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby
Postpartum depression is characterized by prolonged sadness, extreme fatigue, withdrawal, and difficulty bonding with the baby. These symptoms extend beyond normal postpartum blues (which typically resolve within two weeks) and require medical intervention, including therapy and possibly medication.

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A teenager presents to the clinic with complaints of painful lesions, fever, headache, and vaginal discharge. After testing she is diagnosed with Herpes simplex virus type 2. What education should the nurse include in a teaching plan? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

Correct Answer is B

Explanation

A nurse is assessing a postpartum client for signs of postpartum depression. Which of the following symptoms is most indicative of postpartum depression rather than normal postpartum adjustment?

Correct Answer is D

Explanation

A 56-year-old menopausal woman reports to the registered nurse that she has been experiencing vaginal itching, burning, and an increase in vaginal infections over the past 3 years. What important factor should the nurse consider before responding to the client's concerns?

A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

While caring for a client in labor, which assessment finding best indicates fetal well-being to the nurse?

Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?

G1P1, 37 weeks' gestation patient with a scheduled nonstress test (NST) The nurse will implement the following interventions based on the fetal heart rate.(Select All that Apply.)

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35-year-old postpartum client. Select the condition, risk factors and assessment findings that the client may be experiencing.