The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum.
What action should the nurse take in anticipating the plan of care for this patient?

Prepare for a vaginal delivery:.

Administer antiviral medication.

Prepare for a cesarean delivery.

Discharge the patient:

Answer and Explanation

The Correct Answer is C

Choice A (Prepare for a vaginal delivery) is incorrect. Vaginal delivery is generally not recommended for women with active genital herpes lesions present during labor due to the high risk of transmitting the virus to the newborn. This risk is especially high when the mother experiences a primary infection (first outbreak) during the third trimester or has visible lesions at the time of delivery.
Choice B (Administer antiviral medication) is partially correct. While antiviral medications can be helpful in managing and potentially shortening outbreaks, they alone are not enough to prevent transmission during delivery. Antiviral medication can be used in combination with cesarean delivery to further reduce the risk of transmission.
Choice C (Prepare for a cesarean delivery) is correct. A cesarean delivery is the preferred method of delivery for women with active genital herpes lesions present during labor because it significantly reduces the risk of the virus being transmitted to the newborn. This risk can be as high as 50% during vaginal delivery with active lesions, while the risk with cesarean delivery is significantly lower, typically around 1% or less.
Choice D (Discharge the patient) is incorrect. Discharging a patient in active labor with active genital herpes lesions is not a safe or appropriate course of action. The patient needs to be carefully monitored and managed in a healthcare setting to minimize the risk of transmission to the newborn and ensure the safety of both mother and baby.

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Correct Answer is B

Explanation

Choice A rationale
While the intrauterine device (IUD) is a highly effective form of birth control, it does not protect against sexually transmitted infections.
Choice B rationale
Checking the string of the IUD every month is a good practice to ensure that the device is still in place. This is an indication that the patient understands how to monitor the IUD correctly. Choice C rationale
The timing of IUD insertion can vary and does not necessarily need to be a week after the menstrual period. This statement does not accurately reflect understanding of the use of the IUD67.
Choice D rationale
Depending on the type of IUD, it may need to be replaced every 3-10 years, not annually. This statement does not accurately reflect understanding of the use of the IUD67.

A. Negative pregnancy test B. Prothrombin time of 40 seconds C. Hemoglobin level of 10.1 g/dl D. Serum cholesterol of 140 mg/dl

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

Correct Answer is B

Explanation

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

The nurse is discussing various contraceptive methods with a client and her partner. After the discussion, which method do they identify as being available only with a prescription or fitted by a provider?

In the context of educating a group of postmenopausal women about hot flashes and night sweats, what would be the main cause the nurse would address?

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Which newborn response could be related to a newborn infant receiving phototherapy in an isolette?

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum.
What action should the nurse take in anticipating the plan of care for this patient?