For a pregnant client with genital herpes, what instruction is essential to protect the fetus during labor?

The instruction highlighting the necessity of a cesarean section if lesions are present at the time of labor is critical for protecting the fetus from genital herpes transmission. Genital herpes can have serious consequences for the newborn if they are exposed to the virus during delivery, particularly if a vaginal delivery occurs when active lesions are present. A cesarean delivery reduces this risk significantly, as it minimizes the likelihood of the baby coming into direct contact with the virus during birth.

Other options do not adequately address the risks associated with active herpes lesions during delivery. For instance, suggesting that natural birth is safe regardless of symptoms overlooks the critical risk factor that active lesions present during labor pose to the infant. Additionally, stating that breastfeeding is safe if lesions are present does not pertain directly to the delivery process and the immediate risks to the newborn at birth. Finally, while antiviral medication can reduce the frequency and severity of outbreaks, it does not eliminate the need for a cesarean section when lesions are active during labor, as the risk of transmission remains.