A woman who tested positive for human immunodeficiency virus (HIV) during her second trimester has remained asymptomatic. She tells the nurse that she wants to breastfeed her newborn. The nurse's best response is:
a. "As long as you remain without symptoms, you can safely breastfeed the baby."
b. "The baby's antibody titer must be evaluated before determining whether you can breastfeed."
c. "All new mothers are encouraged to breastfeed to promote healthy nutrition in the infant."
d. "You should not breastfeed your newborn because HIV can be transmitted through breast milk."
ANS: D
Because of the risk of transmitting HIV to the newborn, an infected mother should not breastfeed. Because HIV can be transmitted anytime during breastfeeding, testing the neonate's antibody titer at delivery offers no protection for the duration of the breastfeeding period.
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