The nurse has received an order to rupture the membranes of a client artificially. Which finding in the client's history would lead the nurse to question the order?

Question

1. Group B strep negative yesterday
2. HbsAg negative at 28 weeks
3. HIV-positive X 3 years
4. History of genital herpes

Answer 1

3
Rationale:
1. Artificial rupture of the membranes increases the incidence of chorioamnionitis. Group B strep negative findings yesterday decrease the risk of infection. This client is appropriate for artificial rupture of membranes.
2. Artificial rupture of the membranes increases the incidence of perinatal transmission of hepatitis B. This client is negative for hepatitis B; therefore, this client is appropriate for artificial rupture of membranes.
3. Artificial rupture of the membranes increases the incidence of perinatal transmission of HIV, and should not be undertaken in HIV/AIDS–positive women.
4. A history of genital herpes does not indicate that the client is currently experiencing an outbreak. This client is appropriate for artificial rupture of membranes.