The labor nurse is admitting a patient in active labor with a history of genital herpes.
On assessment, 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 the patient for a cesarean delivery

Take a culture of the lesions to verify the involved organism

Ask the patient if she has had unprotected sex since her outbreak

Use internal electronic fetal surveillance to determine a baseline fetal heart rate

Answer and Explanation

The Correct Answer is A

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

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Correct Answer is ["B","C","D"]

Explanation

Choice A rationale
Breastfeeding every 2 hours is actually recommended for newborns and is not a contributing factor to mastitis.
Choice B rationale
Substituting breastfeeding sessions with formula feeding can contribute to mastitis. This is because the milk that is not removed from the breast can lead to engorgement and blocked ducts, which can result in infection.
Choice C rationale
Blisters and cracks on the nipples can allow bacteria to enter the breast tissue, leading to infection and mastitis.
Choice D rationale
Alternating breastfeeding positions can help ensure that the breasts are emptied completely during each feeding, which can help prevent mastitis.

A. Trichomoniasis B. Bacterial vaginosis C. Chlamydia D. Gonorrhea

Correct Answer is A

Explanation

Choice A rationale
Trichomoniasis is a sexually transmitted infection that can cause a frothy, yellow-green vaginal discharge. Other symptoms can include genital itching, burning during urination, and a strong fish-like odor, especially after sex.

Choice B rationale
Bacterial vaginosis is a common vaginal infection that can cause a thin, white or gray vaginal discharge with a fishy smell. However, the discharge is typically not described as frothy or yellow-green.
Choice C rationale
Chlamydia is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Symptoms of chlamydia in women can include abnormal vaginal discharge, but it is often described as mucopurulent (resembling mucus or pus) rather than frothy.
Choice D rationale
Gonorrhea is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Women with gonorrhea may experience increased vaginal discharge, but it is often described as thin and watery or thick and purulent, not frothy.

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The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, 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

What factors could contribute to mastitis in a breastfeeding mother? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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

Correct Answer is A

Explanation

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

A woman at low risk and with no family history of breast cancer comes to the clinic and asks the nurse about when she should have her first mammogram. According to the recommendations of the American Cancer Society, at what age should the woman have her first mammogram?

What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

What should the parents of infants with a positive phenylketonuria (PKU) test be instructed to do?

A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?

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?

Which statement, if made by a couple receiving health education about fertility, would indicate that the teaching was successful?

The labor nurse is admitting a patient in active labor with a history of genital herpes.
On assessment, 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?