A woman at 32 weeks' gestation .is HIV-positive but asymptomatic. ...

[drink]

A woman at 32 weeks' gestation .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

When preparing a woman who is 34 weeks' pregnant for an amniocentesis, the nurse should
 
  a. be sure that the client's bladder is full to elevate the uterus
  b. evaluate fetal heart tones and maternal vital signs
  c. keep the client in a supine position
  d. check that the client has had nothing to eat or drink

[dyrone]

Answer to Question 1

2
Rationale:
1. All invasive procedures are avoided that would expose the uninfected infant to the HIV virus.
2. Clients who are HIV-positive are considered high-risk pregnancies; therefore, beginning at about 32 weeks, these clients have weekly nonstress tests to assess for intrauterine growth retardation (IUGR).
3. All invasive procedures are avoided that would expose the uninfected infant to the HIV virus.
4. Antibiotics would be ineffective for either the mother or the infant who is HIV-positive.

Answer to Question 2

B
Because of potential bleeding for the mother and injury to the fetus, the maternal vital signs and fetal heart rate should be monitored during the procedure. Being sure that the client's bladder is full is related to an abdominal ultrasound and with early pregnancy amniocentesis.