Herpes simplex virus infection in pregnancy Quiz: Ace Your Exams

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A 27-year-old woman, gravida 2, para 1, at 31 weeks estimated gestational age presents to the obstetrics clinic for a routine antenatal visit. The pregnancy has been uneventful, and the patient has no concerns about the pregnancy. However, she recently noticed multiple painful, burning blisters on her vulva. She has no significant past medical history and takes a prenatal vitamin. Vital signs are within normal limits. On physical examination, the patient is well-appearing. The abdomen is gravid with normal fetal heart sounds. Pelvic examination is notable for lesions depicted in the image below. Additionally, a tender, enlarged lymph node is palpable in the left inguinal area. One of the lesions is unroofed and swabbed for further testing. Serum antibody bloodwork is pending. Which of the following is the best next step in management? 

A close up shows the external female genitalia with multiple fluid-filled blisters and open sores, consistent with a severe herpes outbreak, on the labia and surrounding skin.
Image sourced from Kohn M. Herpes simplex (HSV) in emergency medicine. Accessed March 6, 2024. http://emedicine.medscape.com/article/783113-overview 

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