Author Question: The nurse is counseling a pregnant client who is HIV-positive. Which statement should be included? ... (Read 32 times)

james9437 · **on:** Jun 27, 2018

The nurse is counseling a pregnant client who is HIV-positive. Which statement should be included?

a. It is not possible for your baby to contract HIV from your blood circulation.
b. Antiviral therapy is recommended to de-crease the risk of HIV transmission to the fetus.
c. Breastfeeding would be beneficial to your baby so that the baby will pick up your im-munities.
d. It is advisable to have a therapeutic abortion since your baby will also be positive for HIV.

Question 2

Which intervention should the nurse plan to include in the care of the premature infant to prevent skin breakdown?

a. Bathe infant with non-alkaline soap.
b. Wash skin with water after use of isopropyl alcohol.
c. Use paper tape when securing IV sites.
d. Apply lotion daily to the skin.

duke02 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Antiviral therapy can decrease the risk of HIV transmission to the fetus. HIV passes through the placental barrier and infects 25 percent of fetuses of HIV-positive mothers who do not receive antiviral therapy. Breastfeeding of infants of HIV-positive mothers should be avoided, because HIV can be transmitted to the infant through breast milk.

Answer to Question 2

A
Bathing the infant with non-alkaline soap will help prevent skin breakdown. Alcohol will dry the skin, making it more prone to breakdown. Using paper tape when securing IV sites will cause epidermal stripping in the preterm neonate. Lotions must be used with extreme caution to prevent skin drying and epidermal stripping. These should not contain perfume, alcohol, or any other drying agent.