A client with a history of genital herpes asks the nurse what effect the herpes virus might have on her infant. The nurse's best response would be,
a. "You'll have to ask the doctor."
b. "Fifty percent of infected infants die."
c. "Since there are no symptoms at this time, we do not anticipate any infection in your infant."
d. "The infection can be very serious for an infant, which is why we will be monitoring you closely during your pregnancy."
D
The best response by the nurse is to tell the mother that the infection can be very serious for the infant, and that she will be monitored closely during her pregnancy. Fetal and neonatal risks from HSV occur mainly when a primary infection occurs in pregnancy. The most common route of transmission to the fetus is genital contact during vaginal delivery when the mother has a primary genital HSV infection. In this situation, neonatal HSV infection may occur in 25 to 50% of newborns, and 40 to 60% of these newborns are at risk for death and the remainder are likely to suffer CNS damages.
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