A woman in the OB clinic complains of multiple, fluid-filled blisters in her genital area that make walking extremely painful. What information should the nurse provide this patient? (Select all that apply.)
A.
"There are serious adverse fetal effects of this disease."
B.
"There is no cure for herpes simplex virus infection."
C.
"Transmission to your baby causes eye infections."
D.
"You can start antiretroviral medications immediately."
E.
"We will take blood cultures for a bacterial infection."
ANS: A, B
The patient's symptoms are suggestive of herpes simplex virus (HSV) infection. HSV can cause serious consequences, including increased risk of pregnancy loss (60%) and severe neurological consequences in the infants who do survive. There is no cure, but several medications are available for treatment. Unfortunately, the safety of these medications during pregnancy and lactation has not been firmly established. Gonorrhea can cause neonatal eye problems (ophthalmia neonatorum). Antiretroviral medications are used for HIV infections. Blood cultures for bacterial infection are not warranted, as HSV is a viral infection.
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