A client who is 32 weeks pregnant is HIV positive, but asymptomatic. What would be important in managing her pregnancy and delivery?
A) An amniocentesis at 30 and 36 weeks
B) Weekly non-stress testing beginning at 32 weeks' gestation
C) Administration of intravenous antibiotics during labor and delivery
D) Application of a fetal scalp electrode as soon as her membranes rupture in labor

Question

Quizplus · Accepted Answer

For a pregnant client who is HIV positive, but asymptomatic, weekly non-stress testing beginning at 32 weeks' gestation is important to monitor the fetal well-being. Antiretroviral therapy initiated before 14 weeks' gestation and continued through the delivery and postpartum period has been shown to decrease the vertical transmission of HIV. Intravenous antibiotics may be administered during labor and delivery to reduce the risk of transmission but the choice of antibiotics and the duration of treatment should be determined on a case-by-case basis. An amniocentesis at 30 and 36 weeks and the application of fetal scalp electrode are not routinely indicated for the management of a pregnant client who is HIV positive.

A Client Who Is 32 Weeks Pregnant Is HIV Positive