Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?
A. "I need to be immunized against syphilis because there is no cure.”.
"I can change the cat litter as long as I wear gloves.”.
"The best way to prevent CMV is by thorough and consistent hand hygiene.”.
"If my RPR is low, I will need a rubella vaccine at delivery.”.
The Correct Answer is C
Choice A rationale
Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.
Choice B rationale
Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.
Choice C rationale
The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.
Choice D rationale
RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.
Choice B rationale
Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.
Choice C rationale
Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.
Choice D rationale
Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.
Correct Answer is C
Explanation
Choice A rationale
A rubella titer of 1: indicates the presence of antibodies against the rubella virus, but this does not confirm the absence of a current infection. The titer represents past exposure or vaccination rather than an active infection.
Choice B rationale
A rubella titer of 1: suggests immunity to the rubella virus, making vaccination unnecessary at this time. Vaccination is typically recommended for those without immunity to prevent future infection.
Choice C rationale
A titer of 1: indicates the presence of antibodies sufficient to confer immunity to the rubella virus. This level is generally considered protective, implying the client has either had the infection before or has been vaccinated.
Choice D rationale
A mild rubella infection would not typically be determined solely by the titer level. Clinical symptoms and further diagnostic tests are required to diagnose an active rubella infection accurately.
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