The nurse instructs a client on the importance of reducing exposure to infections while pregnant. Which client statement indicates that teaching has been effective?
1. "My genital herpes infection will have no effect on my baby."
2. "Because I have toxoplasmosis, my baby might be born with an abnormally long body."
3. "The rubella infection I experienced in my second trimester may lead me to become deaf."
4. "My baby may develop a serious blood infection because I have group B strep in my vagina."
4
Explanation:
1. Primary herpes simplex infection poses the greatest risk to both the mother and her infant. Primary infection has been associated with spontaneous abortion, low birth weight, and preterm birth. Transmission to the fetus almost always occurs after the membranes rupture and the virus ascends or during birth through an infected birth canal.
2. Toxoplasmosis during pregnancy can cause fetal microcephaly, hydrocephalus, coma, convulsions, or retinochoroiditis.
3. Rubella infection during pregnancy can lead to fetal deafness, congenital heart defects, and developmental delays in the fetus. Maternal deafness is not a risk for perinatal rubella.
4. Group B streptococcus can cause neonatal septicemia or pneumonia unless IV antibiotics are given during labor.
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