The nurse is admitting a client in the first stage of labor with active genital herpes. Which type of birth will the nurse anticipate for this client?
Low forceps
Vaginal
Cesarean section
Mid-forceps
The Correct Answer is C
A. Low forceps and mid-forceps deliveries are not typically chosen for clients with active genital herpes due to the risk of exposing the baby to the virus during passage through the birth canal.
B. While vaginal birth is the preferred mode of delivery in many cases, active genital herpes may increase the risk of neonatal transmission, and a cesarean section may be recommended to reduce this risk.
C. Cesarean section is often recommended for clients with active genital herpes to minimize the risk of neonatal transmission, especially if lesions are present at the time of delivery.
D. Mid-forceps delivery is not typically chosen for clients with active genital herpes due to the risk of exposing the baby to the virus during passage through the birth canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 9-year-old is in the school-age period, which corresponds to Erikson’s stage of industry vs. inferiority. During this stage, children focus on developing skills, gaining competence, and seeking approval for accomplishments. Supporting independence in asthma care (such as learning to use an inhaler) fosters a sense of industry.
B. Initiative vs. guilt is the stage for preschool-aged children (3–6 years), where the focus is on asserting power and control through play and social interactions.
C. Identity vs. role confusion is more applicable to adolescence and focuses on the formation of a stable self-identity.
D. Autonomy vs. shame and doubt is relevant to the toddler age range, emphasizing the development of independence. While independence is important, the immediate concern in the given scenario aligns more with the initiative and responsibility associated with the school-age child.
Correct Answer is D
Explanation
A. A FHR baseline of 125 is within the normal range for a fetal heart rate.
B. A temperature of 99.9°F is a mild elevation and may not be an immediate concern.
C. Blood pressure of 142/90 may be elevated but may not require immediate action unless associated with other concerning symptoms.
D. Contractions lasting 45-60 seconds are prolonged and may lead to decreased fetal oxygenation. This finding should be reported immediately to the charge nurse.
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