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 D
Explanation
A. An inverted nipple is not indicative of mastitis.
B. Presence of breast milk is expected postpartum and does not specifically indicate mastitis.
C. A bruised area is not a common sign of mastitis.
D. Mastitis often presents with localized pain, redness, swelling, and a hardening of the affected area of the breast. Asking about the presence of a hardening will help assess for mastitis.
Correct Answer is B
Explanation
A. Placing the client on her left side is important for optimizing fetal oxygenation but is not the first action when there is a report of a gush of fluid.
B. Notifying the registered nurse (RN) immediately is the first action to ensure prompt assessment and appropriate interventions for possible ruptured membranes.
C. Documenting the time and color of the fluid is important, but immediate notification of the RN takes precedence.
D. Checking fetal heart tones is important but should be done in conjunction with notifying the RN to assess the overall situation and determine the appropriate course of action.
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