NCLEX RN Practice Question # 599

NCLEX Examination.

Practice Question # 599.

Herpes simplex virus

• Herpes simplex virus affects the external genitalia, vagina, and cervix and causes draining, painful vesicles.
• Virus usually is transmitted to the fetus during birth through the infected vagina or via an ascending infection after rupture of the membranes.
• No vaginal examinations are done in the presence of active vaginal herpetic lesions.
• Herpes can cause death or severe neurological impairment in the newborn.
• Delivery of the fetus is usually by cesarean section if active lesions are present in the vagina; delivery may be performed vaginally if the lesions are in the anal, perineal, or inner thigh area (strict precautions are necessary to protect the fetus during delivery).
• Maintain contact precautions.