A laboring woman is found to have an active outbreak of genital herpes simplex virus (HSV). The nurse prepares for which treatment intervention?
1. Predelivery skin scrub with an antiseptic cleaner
2. Normal vaginal delivery if possible
3. Treatment with pyrimethamine for the infant starting immediately after birth
4. Cesarean delivery
4
Rationale 1: This intervention will not prevent transmission of herpes to the infant.
Rationale 2: The possibility of exposing the infant to herpes lesions makes vaginal delivery undesirable.
Rationale 3: Pyrimethamine is used to treat parasitic infections and infants exposed to toxoplasmosis.
Rationale 4: Active cases of genital herpes require delivery by cesarean section to avoid contact between the infant and the herpes lesions.
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