When a pregnant patient has genital herpes, for which complication is the patient at higher risk than the general population?
Forceps-assisted second stage of labor.
Precipitous delivery.
Prolonged first phase of labor.
Cesarean delivery.
The Correct Answer is D
The correct answer is choice D. Cesarean delivery. A pregnant patient with genital herpes is at higher risk of transmitting the infection to the baby during vaginal delivery, especially if there is an active outbreak near the time of birth. This can cause serious complications for the baby, such as brain damage, eye problems, or even death. Therefore, a cesarean delivery is recommended to avoid contact between the baby and the genital lesions.
Choice A is wrong because forceps-assisted second stage of labor is not a complication of genital herpes.
It is a method of assisted delivery that may be used for various reasons, such as fetal distress, maternal exhaustion, or abnormal presentation.
Choice B is wrong because precipitous delivery, which means a very fast labor and delivery, is not a complication of genital herpes.
It may be caused by factors such as multiparity, strong contractions, or previous rapid deliveries.
Choice C is wrong because prolonged first phase of labor, which means a slow dilation of the cervix, is not a complication of genital herpes.
It may be caused by factors such as ineffective contractions, large fetal size, or malposition.
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Related Questions
Correct Answer is C
Explanation
This is because the patient is experiencing supine hypotension syndrome, which occurs when the weight of the gravid uterus compresses the inferior vena cava and reduces venous return and cardiac output. Turning the patient onto her side will relieve the pressure and improve blood flow.
Choice A is wrong because taking the patient’s blood pressure will not address the cause of her symptoms and may delay appropriate intervention.
Choice B is wrong because breathing into her cupped hands will not improve her circulation and may increase her carbon dioxide levels.
Choice D is wrong because elevating the patient’s legs will not relieve the compression of the inferior vena cava and may worsen her condition.Normal blood pressure for a pregnant woman is 110/70 to 120/80 mmHg.Normal heart rate for a pregnant woman is 60 to 90 beats per minute.Normal respiratory rate for a pregnant woman is 16 to 24 breaths per minute.
Correct Answer is B
Explanation
he correct answer is choice B. Sufficient perfusion and circulation of the fetus.This is because the fetal heart rate is within the normal range of 110 to 160 beats per minute, and there is moderate beat-to-beat variability, which indicates a healthy nervous system.
Choice A is wrong because insufficient perfusion of the placenta would cause fetal distress and abnormal fetal heart rate patterns, such as late decelerations or minimal variability.
Choice C is wrong because maternal hypoxia would not directly affect the fetal heart rate, unless it leads to placental insufficiency or uterine hyperstimulation.
Choice D is wrong because fetal hypoxia would cause signs of fetal distress, such as tachycardia, bradycardia, or absent variability.
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