Therapeutics: The medications I would prescribe is Metoprolol 25mg and

Case Study Situation: Lucille presents to the clinic for her 32 week prenatal checkup. The 0.4 points client reports a painful sore on her right labia but otherwise denies other concerns. What is the greatest concern regarding Lucille’s HSV infection? Background: G4T2POA1L2 at 32.3 Obstetric HX: Previous vaginal deliveries X 2, miscarriage X 1; 2 living children Development of oral cold sores ages 7 & 4 Maternal pain and discomfort Labs: O negative, Rubella immune, RPR negative, HSV positive Meds: Client reports taking a prenatal and iron supplement Risk of miscarriage Assessment: BP 114/68, P 79. T 98.1, RR 18 O FHTs 152-158 via doppler; open herpetic lesion noted on R labia Transmission of HSV to the fetus during delivery

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