A woman with a history of genital herpes has no lesions during pregnancy. What should the nurse inform her?

Prepare for the Evolve Antepartum Test with comprehensive flashcards, multiple choice questions, hints, and explanations. Get exam-ready today!

The correct answer highlights the importance of monitoring for genital lesions at the time of delivery for a woman with a history of genital herpes. Even if she has no active lesions during pregnancy, the presence of the virus still poses a risk of shedding, particularly during labor. This risk necessitates an evaluation at the time of delivery to ensure that there are no lesions present, as active lesions can increase the likelihood of vertical transmission of the herpes virus to the newborn during birth.

In contrast, advising that there’s no need for any follow-up disregards the potential risks associated with the history of genital herpes. Suggesting immediate antiviral medication without any current symptoms may not be necessary and may not align with the standard practice unless there are indications for such treatment. Lastly, implying that a cesarean delivery is unnecessary can be misleading; while it might be possible to have a vaginal delivery if there are no lesions present, the decision should be based on an evaluation at the time of delivery to ensure the safety of both the mother and the infant.

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