The nurse is aware that the postpartum female patient with HIV requires additional teaching when she states:
A) "I will use an intrauterine contraceptive device (IUD) as my primary source of contraception."
B) "I will not breastfeed my child."
C) "I know that my period may be more irregular due to my HIV."
D) "My infant is at risk for HIV and I will make sure we do not miss any appointments with the pediatrician."
Ans: A
Feedback: An IUD is not an acceptable form of contraception for a woman with HIV. The device's string may serve as a means to transmit HIV infection. The risk of transmitting HIV infection from the mother to the infant necessitates close follow-up by a pediatrician. Also, the mother must be instructed not to breastfeed the infant since the infection is transmitted through breast milk. It is also well documented that women with HIV appear to have a higher incidence of menstrual abnormalities, such as amenorrhea or bleeding between periods, than women without HIV infection.
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