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    Ati paediatrics final proctored exam 2025

    A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which of the following statements should the nurse provide in the teaching?

    Explanation & Rationale

    A. "You must breastfeed to give the baby the best nutrients." While breastfeeding provides essential nutrients, it is not recommended for mothers with HIV due to the risk of viral transmission through breast milk, even if the mother is on antiretroviral therapy. B. "Breastfeeding is not recommended because of the high risk of transmission." HIV can be transmitted through breast milk, and health organizations, including the WHO and CDC, advise against breastfeeding if safe alternatives, such as formula feeding, are available. Formula feeding is the preferred method in high-resource settings. C. "Pumped breastmilk may be given to your child." Pumping does not eliminate HIV from breast milk. The virus remains present, posing the same transmission risk as direct breastfeeding. D. "You should sterilize your pumped breastmilk prior to feeding." There is no reliable method for sterilizing breast milk at home that effectively eliminates HIV without destroying its nutritional value. Instead, formula feeding or donor milk from screened sources is recommended.

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