A patient, age 28, has a history of IV drug use and has tested positive for HIV. About 2 weeks ago, she delivered a baby who has tested positive for HIV. This patient will not care for the baby because she believes the baby will die soon
In counseling her about the care of her infant, which approach by the nurse is most appropriate? a. Agree with her that the baby will develop AIDS and refer her to a local AIDS support group.
b. Inform her that although infants of HIV-infected mothers may test positive for HIV antibodies, not all infants are infected with the virus.
c. Remind her that she has not yet developed AIDS and that it is possible the baby won't develop AIDS for many years.
d. Inform her that if the infant is started on zidovudine (AZT) within the first month after delivery, AIDS can be prevented.
B
The decline in pediatric AIDS incidence is associated with the increased compliance with universal counseling and testing of pregnant women and the use of zidovudine by HIV-infected pregnant women and their newborn infants. Infants born to HIV-infected mothers will have positive HIV antibody results as long as 15 to 18 months after birth. This is caused by maternal antibodies that cross the placenta during gestation and remain in the infant's circulatory system.
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