A client admits to being HIV-positive, and that she is at about ...

[Zoey63294]

A client admits to being HIV-positive, and that she is at about 16 weeks' gestation. Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply.
 
  1. I will take my Zidovudine (ZVD) at the same time every day.
  2. During labor and delivery, I can expect the Zidovudine (ZVD) to be given in my IV.
  3. After delivery, the dose of Zidovudine (ZVD) will be doubled to prevent further infection.
  4. My baby will be started on Zidovudine (ZVD) within 12 hours of delivery.
  Correct

Question 2

A 30-year-old G1P0 has a normal maternal AFP level. This test result tells her that the fetus
 
  a. will not have any congenital abnormalities
  b. is of a viable gestational age
  c. most likely does not have a neural tube defect
  d. is not a carrier of an autosomal recessive trait

[LVPMS]

Answer to Question 1

1; 2; 4
Rationale:
1. The initial treatment is ZVD orally every day. It is recommended, to keep the level consistent, that dosages be taken consistently
2. During the labor and delivery process, the doses will be given intravenously.
3. The mother will continue with her oral dosage of ZVD after delivery just as prior to delivery.
4.Within 812 hours after delivery, the infant is begun on ZVD and kept on the medication a minimum of 6 weeks.

Answer to Question 2

C
The AFP screens for neural tube defects and trisomy 21, so a normal result would indicate the absence of these anomalies.