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
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.
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