Author Question: A mother who is HIV-positive has given birth to a term female. What plan of care is most appropriate ... (Read 36 times)

bobbie · **on:** Jun 27, 2018

A mother who is HIV-positive has given birth to a term female. What plan of care is most appropriate for this infant?

1. Test with an anti-HIV-1 antibody assay at 8 months.
2. Begin prophylactic AZT (Zidovudine) administration.
3. Provide 45 large feedings throughout the day.
4. Encourage the mother to breastfeed the child.

Question 2

The nurse is instructing a young patient on avoiding toxic shock syndrome. Education was successful when the patient states: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. I will wash my hands before inserting a tampon..
2. I will change my tampon every 36 hours..
3. I will not touch the part of the tampon I insert..
4. I will just put the used tampon in the trash..
5. I will take prophylactic antibiotics if needed..

atrochim · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: Eight months is too early for this test. The HIV-1 antibody assay becomes accurate at 1518 months of age, after the maternal antibodies have cleared from the infant's system.
Rationale 2: Prophylactic medication helps reduce the risk of vertical transmission from exposure to maternal blood and body fluids at birth. The dose for term newborns is 2 mg/kg/dose PO every 6 hours.
Rationale 3: GI problemsincluding lack of weight gain, weight loss, and wastingare common with HIV-positive infants. Small, frequent feedings are best tolerated and facilitate optimal growth and weight gain. Large feedings should be avoided.
Rationale 4: Breastfeeding is contraindicated for HIV-positive mothers because breast milk has been shown to contain the virus. Bottle-feeding is the recommended feeding method.

Answer to Question 2

1,2,3
Rationale 1: or removing a tampon.
Rationale 2: Changing the tampon every 36 hours will help prevent toxic shock syndrome from developing.
Rationale 3: After the tampon is unwrapped, the patient should avoid touching the portion of the tampon to be inserted into the vagina.
Rationale 4: When a tampon is removed, it should first be wrapped in toilet tissue or placed in a disposable bag and then discarded in a trash receptacle or designated container.
Rationale 5: Prophylactic antibiotics are not needed.