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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A is correct. The square window angle, formed by the intersection of the ear and the jawline, is an important physical assessment finding in neonates. In full-term babies, this angle is typically greater than 90 degrees, appearing more rounded. However, in preterm babies, the angle is often closer to 90 degrees, appearing more square due to underdeveloped facial features and subcutaneous tissue.

Choice B is incorrect. While leathery and cracked skin can be present in both term and preterm babies, it's not a specific indicator of prematurity alone. It can be caused by various factors like intrauterine growth restriction, dehydration, or underlying skin conditions.

Choice C is incorrect. The popliteal angle, formed by flexing the knee and measuring the angle between the thigh and lower leg, is not a reliable indicator of prematurity. It can vary even among term babies and is influenced by other factors like muscle tone and positioning.

Choice D is incorrect. Pronounced plantar creases, the lines on the soles of the feet, are also not specific to prematurity. While they may be deeper in some preterm babies, they can also be present in full-term infants and their depth can vary greatly between individuals.

A. Cervical cap B. Cervical sponge C. Condom D. Spermicide

Correct Answer is A

Explanation

Choice A rationale
A cervical cap is a small, thimble-shaped cup made of silicone that fits over the cervix to prevent sperm from reaching an egg. It must be fitted by a healthcare provider and requires a prescription.
Choice B rationale
The cervical sponge is a type of birth control that does not require a prescription. It is a small, donut-shaped device made of soft plastic foam that is inserted into the vagina before sex.
Choice C rationale
Condoms are a type of birth control that do not require a prescription. They are a barrier method that prevents sperm from reaching an egg.
Choice D rationale
Spermicide is a type of birth control that does not require a prescription. It is a chemical that kills sperm and is often used with other birth control methods to increase effectiveness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

For which reason would a nurse in the well-baby nursery report to the neonatologist that a newborn appears to be preterm?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

What symptom would a nurse anticipate in a patient with endometriosis?

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?

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

After instructing a woman on how to conduct a breast self-examination, which statement would suggest that the nurse’s instructions were effective?

After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. What should the nurse in the birthing room do?

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

Assessment of a female client reveals a frothy, yellow-green vaginal discharge. Based on these findings, the nurse would suspect that the client has:

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?