A woman is 32 weeks pregnant. She is HIV-positive but ...

[fagboi]

A woman is 32 weeks pregnant. She is HIV-positive but asymptomatic. What would be important in managing her pregnancy and delivery?
 
  1. An amniocentesis at 30 and 36 weeks
  2. Weekly nonstress testing beginning at 32 weeks' gestation
  3. Application of a fetal scalp electrode as soon as her membranes rupture in labor
  4. Administration of intravenous antibiotics during labor and delivery

Question 2

The nurse is caring for a new mother who is intellectually disabled. She has chosen to keep her baby, and will live with her parents, who both work full-time. Public health nurses are going to be following this patient and her baby closely.
 
  What is the main thing the nurse will have to remember when caring for this patient? 1. This patient will need to have a babysitter at all times.
  2. She is not going to be able to keep this baby, due to her disability.
  3. The father of the baby needs to move in with the family to assist with care.
  4. The nurse and the patient's family will have to give clear, concise, easy-to-understand directions multiple times.

[Chelseyj.hasty]

Answer to Question 1

2
Rationale 1: All invasive procedures that would expose the uninfected infant to the HIV virus are avoided.
Rationale 2: Patients who are HIV-positive are considered high-risk pregnancies. Therefore, beginning at about 32 weeks, these patients have weekly nonstress tests to assess for placental function, and an ultrasound every 23 weeks to assess for intrauterine growth retardation (IUGR).
Rationale 3: All invasive procedures that would expose the uninfected infant to the HIV virus are avoided.
Rationale 4: Antibiotics would be ineffective for either the mother or the infant who was HIV-positive.

Answer to Question 2

4
Rationale 1: This is likely not true, as she will be able to care for her baby with the availability of her family and the nurse.
Rationale 2: The patient will be able to keep her baby as long as it is being properly cared for.
Rationale 3: This would only be true if the family wished this and he were involved with the woman and the baby.
Rationale 4: When working with patients with intellectual disabilities, it is important for the nurse to provide clear, concise, and understandable instructions multiple times.

[fagboi]

Thank you

[Chelseyj.hasty]

No problemo