The day after a vaginal delivery, a client develops painful vesicular lesions on the perineum and vulva which are diagnosed as a primary herpes type 2 infection. What care should the newborn receive?
1. Intravenous acyclovir (Zovirax) and contact precautions
2. Cultures of blood and cerebrospinal fluid and serial chest x-rays every 12 hours
3. Parental rooming-in and four intramuscular injections of penicillin
4. Meticulous hand washing and antibiotic eye ointment administration
1
Explanation:
1. For a herpes type 2 infection, intravenous acyclovir (Zovirax) is indicated. Contact precautions should be implemented.
2. These cultures are appropriate, but chest x-rays are not indicated. Chest x-rays are obtained if the neonate is thought to have group B streptococcal pneumonia.
3. Parental rooming-in is encouraged, but penicillin does not treat viral illness. Penicillin is the drug of choice for syphilitic infections.
4. Although meticulous hand washing by staff and parents is important, antibiotic eye ointment is used for conjunctivitis of gonorrhea or Chlamydia.
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