A woman in the OB clinic complains of multiple, fluid-filled ...

[michelleunicorn]

A woman in the OB clinic complains of multiple, fluid-filled blisters in her genital area that make walking extremely painful. What information should the nurse provide this patient? (Select all that apply.)
 
  A.
  There are serious adverse fetal effects of this disease.
  B.
  There is no cure for herpes simplex virus infection.
  C.
  Transmission to your baby causes eye infections.
  D.
  You can start antiretroviral medications immediately.
  E.
  We will take blood cultures for a bacterial infection.

Question 2

A nurse is running for public office and plans to fund a comprehensive program to prevent teen pregnancy. When asked how to justify the cost of such a venture, what information could the nurse provide? (Select all that apply.)
 
  A.
  A quarter of teen mothers give birth to a second child within 2 years of the first child.
  B.
  Fifty percent of teen mothers go on welfare within 5 years of the birth of their first child.
  C.
  Only a small percentage of teen mothers will complete any education beyond high school.
  D.
  The rate of teen pregnancy in America is double that of other developed countries.
  E.
  There are so many teenage mothers they are overwhelming the health-care system.

[daiying98]

Answer to Question 1

ANS: A, B
The patient's symptoms are suggestive of herpes simplex virus (HSV) infection. HSV can cause serious consequences, including increased risk of pregnancy loss (60) and severe neurological consequences in the infants who do survive. There is no cure, but several medications are available for treatment. Unfortunately, the safety of these medications during pregnancy and lactation has not been firmly established. Gonorrhea can cause neonatal eye problems (ophthalmia neonatorum). Antiretroviral medications are used for HIV infections. Blood cultures for bacterial infection are not warranted, as HSV is a viral infection.

Answer to Question 2

ANS: A, B, C, D
Teen pregnancy has enormous social and personal repercussions, including high rates of teen mothers on welfare, high rates of teen mothers having a second child within 2 years, low rates of teen mothers gaining education beyond high school, and high rates of teen pregnancy in the United States. Teen mothers are not overwhelming the health-care system.