North American Registry of Midwives (NARM) Practice Exam

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Which condition necessitates a C-Section if present when a woman goes into labor?

Active HSV (Herpes Simplex Virus) lesions
Condylomata Acuminata (genital warts)
Chlamydia infection
Pelvic Inflammatory Disease

The correct answer is: Active HSV (Herpes Simplex Virus) lesions

Active HSV (Herpes Simplex Virus) lesions are a significant condition that necessitates a C-section in a woman who is in labor. The presence of active lesions in the genital area poses a serious risk of transmitting the virus to the newborn during vaginal delivery. If the baby is exposed to HSV during birth, it can lead to serious complications, including neonatal herpes, which can be life-threatening. In cases where the mother has active HSV lesions, a cesarean delivery is typically recommended to minimize this risk, ensuring the safety of the baby. The other conditions listed may require monitoring and treatment but do not carry the same immediate risk of transmission during delivery that active HSV does, making them less critical in the context of determining the mode of delivery in labor.