Samuel Merrit University Oaklands Hesi Maternity (Labor and Delivery)
Samuel Merrit University Oaklands Hesi Maternity (Labor and Delivery) ( 44 Questions)
A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?
Prepare for a cesarean section:
The presence of active herpes lesions alone doesn't necessarily indicate an immediate need for a cesarean section. The decision for a cesarean section would depend on various factors, including the presence of active lesions during labor and the potential risk of transmission to the baby.
Cover the lesion with a dressing:
This is the correct action. Covering active herpes lesions with a dressing helps reduce the risk of transmission of the virus to the newborn during delivery.
Obtain blood cultures:
Obtaining blood cultures may not be the primary action in this situation. The concern is more related to preventing the transmission of the herpes virus to the newborn.
Administer penicillin:
Penicillin is not the treatment for herpes. Antiviral medications such as acyclovir are typically used for the treatment of herpes infections.
Prepare for a cesarean section:
The presence of active herpes lesions alone doesn't necessarily indicate an immediate need for a cesarean section. The decision for a cesarean section would depend on various factors, including the presence of active lesions during labor and the potential risk of transmission to the baby.
Cover the lesion with a dressing:
This is the correct action. Covering active herpes lesions with a dressing helps reduce the risk of transmission of the virus to the newborn during delivery.
Obtain blood cultures:
Obtaining blood cultures may not be the primary action in this situation. The concern is more related to preventing the transmission of the herpes virus to the newborn.
Administer penicillin:
Penicillin is not the treatment for herpes. Antiviral medications such as acyclovir are typically used for the treatment of herpes infections.