NursingPlex
    Sign In
    Hesi rn care of women and paediatric nursing proctored exam
    Select All That Apply

    A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.Which action(s) should the nurse plan to perform? Select all that apply.

    Explanation & Rationale

    Choice A rationaleStandard precautions should always be used to prevent the transmission of infections. This includes wearing gloves, gowns, and masks when necessary to protect both the healthcare provider and the patient.Choice B rationaleAntiviral medication is critical for an HIV-positive mother in labor to reduce the risk of vertical transmission of the virus to the newborn. Intravenous administration ensures rapid delivery and effective drug levels.Choice C rationaleDroplet precautions are not necessary for HIV as the virus is not transmitted via droplets. It is primarily transmitted through blood, sexual contact, and from mother to child during childbirth or breastfeeding.Choice D rationaleBottle-feeding is encouraged for HIV-positive mothers to prevent postnatal transmission of the virus through breast milk. Breastfeeding can increase the risk of the infant contracting HIV.Choice E rationaleNegative pressure rooms are used for airborne diseases like tuberculosis, not for HIV. HIV is not airborne, so standard precautions suffice.

    🔒 Submit your answer to reveal