A 28-year-old married attorney with one child is in the first trimester of her second pregnancy. The patient states that she is at no risk for HIV, so she would not need to be counseled about testing for HIV. Which is the most appropriate response?
a. "She's a professional woman in a monogamous relationship. She obviously is not at risk."
b. "Women are not at great risk. The greatest risk is with gay men."
c. "The fastest-growing segment of the population with AIDS is women and children. We need to assess her risks."
d. "We need to review her chart to determine if her first child was infected."
ANS: c. "The fastest-growing segment of the population with AIDS is women and children. We need to assess her risks."
Increases in AIDS cases in women and heterosexuals and a slowing of cases in the men who have sex with men (MSM) category are a direct reflection of early educational efforts directed at the MSM population, who were believed to be the only population at risk. Women need to be assessed for different manifestations of HIV infection. It is the current recommendation for voluntary HIV testing for all pregnant women.
Among the 43,171 new AIDS cases reported to the CDC in 2003, 49.9% were African Americans, 20.3% were Hispanics, and 26.6% were females. Increases in AIDS cases in women and heterosexuals and a slowing of cases in men who have sex with men (MSM) category are a direct reflection of early educational efforts directed at the MSM population, who were believed to be the only population at risk
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