A woman is married to an intravenous drug user. She had a ...

[Jramos095]

A woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. Which of the following would indicate that the client needs to be retested for HIV?
 
  1. A hemoglobin of 11 g/dL and a rapid weight gain
  2. Elevated blood pressure and ankle edema
  3. Shortness of breath and frequent urination
  4. Unusual fatigue and recurring candida vaginitis

Question 2

When comparing chorionic villus sampling (CVS) to amniocentesis, which statement is true?
 
  a. CVS and amniocentesis are both used to diagnose the presence of a neural tube defect.
  b. There is a higher incidence of pregnancy loss with CVS than amniocentesis.
  c. In contrast to CVS, amniocentesis can be done anytime during pregnancy.
  d. The waiting time for obtaining results from CVS and amniocentesis is the same.

[TheDev123]

Answer to Question 1

4
Rationale:
1. The client would be anemic and anorexic.
2. The client would have a decrease in blood pressure and no ankle edema.
3. Shortness of breath and frequent urination are not signs of a need to retest for HIV.
4. The client who is HIV-positive would have a suppressed immune system, and would experience symptoms of fatigue and an opportunistic infection, such as candida vaginitis.

Answer to Question 2

B
CVS carries a much higher risk of spontaneous pregnancy loss than amniocentesis. CVS cannot determine the presence of neural tube defects.CVS was designed to be used during the first trimester; amniocentesis is done preferably during the second and third trimester after the uterus has risen up from inside the pelvis. CVS has a much shorter interval between test performance and availability of results when compared to amniocentesis.

[Jramos095]

Excellent

[AmberC1996]

TYSM