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 D
Explanation
Choice A rationale
Calling the healthcare provider delays immediate intervention needed to alleviate the client's symptoms of dizziness and nausea due to supine hypotensive syndrome. Quick repositioning is crucial to improve venous return and alleviate the symptoms.
Choice B rationale
Elevating the head of the bed will not relieve the pressure on the inferior vena cava caused by the supine position. This intervention does not address the underlying cause of the client's symptoms.
Choice C rationale
Encouraging deep breathing is unlikely to resolve the symptoms of supine hypotensive syndrome, which is caused by the compression of the vena cava by the gravid uterus when lying supine. This intervention does not address the physiological cause.
Choice D rationale
Turning her to her side relieves the pressure on the inferior vena cava, improving venous return and increasing blood pressure. This is the correct initial action to address the symptoms of supine hypotensive syndrome.
Correct Answer is A
Explanation
Choice A rationale
At 9 weeks gestation, the primary purpose of an ultrasound is to confirm the presence of a fetal heartbeat, which indicates a viable pregnancy.
Choice B rationale
Chromosomal defects are typically assessed using different tests, such as chorionic villus sampling or amniocentesis, rather than an ultrasound at this early stage.
Choice C rationale
Fetal lung maturity cannot be assessed at 9 weeks gestation because the lungs are not yet developed. This assessment is usually done later in pregnancy if preterm delivery is anticipated.
Choice D rationale
The position of the fetus in utero is not a concern at this early stage of pregnancy. Fetal positioning becomes relevant later in pregnancy, closer to delivery.
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