A nurse is giving discharge instructions to a pregnant client, diagnosed with genital herpes, about the different ways of protecting the fetus. Which of the following statements, if made by the client, indicates she understands the teachings?
  1. “I should abstain from sexual intercourse throughout my pregnancy.”
  2. “I have to take acyclovir throughout my pregnancy.”
  3. “A cesarean section will be necessary if active vaginal lesions are seen at the time of labor.”
  4. “I should take sitz baths to encourage tissue healing.”
Explanation
Answer: C - A cesarean section is necessary if active vaginal lesions are manifested at the time of labor. Sexual intercourse must be avoided until the lesions disappear or until the culture turns negative, if this is the client’s initial infection. Acyclovir is not recommended during pregnancy unless a threatening infection occurs. Vaginal lesions must be kept dry and clean to encourage tissue healing.
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