A multiparous client with active herpes lesions is admitted to the unit with spontaneous rupture of membranes. Which action should the nurse take?
Explanation & Rationale
Choice A reason: Blood cultures diagnose systemic infection but don’t prevent neonatal herpes transmission during vaginal delivery, which is the immediate concern with active lesions and ruptured membranes. Choice B reason: Preparing for a cesarean section prevents neonatal herpes exposure during birth, as active lesions with ruptured membranes increase transmission risk, requiring surgical delivery. Choice C reason: Covering lesions reduces staff exposure but doesn’t prevent viral shedding into the birth canal, ineffective for protecting the neonate during vaginal delivery. Choice D reason: Penicillin treats bacterial infections (e.g., syphilis), not herpes, a viral condition; antivirals like acyclovir are used, but delivery mode is the priority here.