What should the nurse emphasize when counseling an anxious HIV-positive mother about the care of her HIV-positive infant?
a. The baby will develop AIDS and refer her to a local AIDS support group. The baby will remain HIV-positive for the rest of its life.
b. Although infants of HIV-infected mothers may test positive for HIV antibodies, not all infants are infected with the virus.
c. She has not yet developed AIDS, and that it is possible the baby will not develop AIDS for many years.
d. If the infant is started on zidovudine (AZT) within the first month after delivery, AIDS can be prevented.
ANS: 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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