A pregnant client with HIV is anxious about her upcoming delivery. The nurse reviews with her plans for the client during delivery and plans for treatment of the infant after birth. What statement by the client indicates the need for further teaching?

Question

Quizplus · Accepted Answer

Rationale 1. It is recommended that the woman receive a continuous infusion of zidovudine
during labour. Zidovudine rapidly crosses the placenta. This may provide some protection for the fetus because most perinatal transmission of HIV occurs near to or during labour and delivery.
Rationale 2. Therapy of neonates born to mothers infected with HIV should begin immediately after delivery, no later than 6 to 12 hours postpartum. beginning antiretroviral therapy more than 48 hours after birth has been shown to be ineffective in preventing the infection. It is recommended that zidovudine be given orally to the newborn for 6 weeks. In addition, three doses of nevirapine are given during the first week of life. 
Rationale 3. Although initial HIV antibody tests on the newborn may be positive, these antibodies may be due to maternal infection and not HIV infection in the child.
Rationale 4. HIV infection is established in infants by age 1 to 2 weeks. 
Rationale 5. Therapy of neonates born to mothers infected with HIV should begin immediately after delivery, no later than 6 to 12 hours postpartum.

A Pregnant Client with HIV Is Anxious About Her Upcoming