What is the nursing plan for a client with active genital herpes in labor?

In cases of active genital herpes during labor, the nursing plan prioritizes the safety of both the neonate and the mother. Active lesions can pose a risk of transmission of the herpes simplex virus to the newborn during vaginal delivery, which can lead to severe infections in the infant.

When a client presents with active genital herpes, the standard clinical practice is to prepare for a cesarean delivery. This method minimizes the risk of exposing the neonate to the virus that could be present in the maternal genital tract, where lesions are located. A cesarean delivery is recommended if there are visible lesions at the time of labor or if the client has had a recent outbreak.

While other options such as administering antiviral medications and discussing risks are important, the immediate action in the context of active lesions during labor directly influences the delivery method to ensure the safety of the newborn. Therefore, preparing for a cesarean delivery is the most appropriate nursing plan.