A 23-year-old primiparous client with inconsistent prenatal care is admitted to the hospital's maternity unit in labor.The client states that she has tested positive for human immunodeficiency virus (HIV)but has not undergone any treatment during her pregnancy.As her primary nurse you understand that the risk of perinatal transmission can be significantly decreased by a number of prophylactic interventions.Select the appropriate interventions that should be included in this client's plan of care:
A)Intrapartum treatment with antiviral medications
B)Cesarean birth
C)Postpartum treatment with antiviral medications
D)Avoidance of breastfeeding
E)Pneumococcal,hepatitis B,and Haemophilus influenzae vaccine

Question

Quizplus · Accepted Answer

The prophylactic measures of prenatal antiviral use,elective cesarean birth,and formula feeding reduce transmission as low as 1% to 2%.The client who refuses a cesarean birth should be given antiviral therapy intravenously during labor.Ideally,medications should be given prenatally.Administration of antiviral drugs in the postpartum period will not reduce transmission to the infant.All women who are HIV positive should be encouraged to receive these immunizations.They will not reduce the risk of perinatal transmission.

A 23-Year-Old Primiparous Client with Inconsistent Prenatal Care Is Admitted