Which of the following information should the nurse include when providing teaching to an antepartum client with a new diagnosis of genital herpes simplex virus 2 (HSV-2)?

Choice A reason: Transmission of HSV-2 to the newborn is higher with active lesions at birth, as direct contact during vaginal delivery increases neonatal herpes risk. The virus can cause severe neonatal infections, affecting the central nervous system. Cesarean delivery is often recommended to reduce transmission, per obstetric virology guidelines. Choice B reason: Antiviral medications like acyclovir suppress HSV-2 symptoms and reduce transmission but do not cure the condition, as the virus remains latent in nerve ganglia. Chronic management is required, and this statement misrepresents the virological nature of herpes, which persists lifelong despite treatment, per infectious disease principles. Choice C reason: Wearing tight-fitting undergarments during HSV-2 lesions is not recommended, as it may cause irritation, delaying healing. Loose clothing minimizes friction, supporting lesion recovery. This advice does not address viral transmission or fetal risk, focusing on comfort rather than the virological or obstetric management of HSV-2. Choice D reason: HSV-2 can harm the fetus, especially with primary infection, causing congenital herpes, preterm birth, or neurological damage. While rare, transplacental transmission or exposure during delivery poses risks. This statement is incorrect, as HSV-2’s potential for fetal harm necessitates careful management, per perinatal infection guidelines.