A 23-year-old HIV-positive woman in the United States with routinely low viral loads and robust CD4+ cell counts is planning to get pregnant. Which precaution would her care giver eliminate from her care?
A)
Offer her HAART that includes zidovudine
B)
Counsel her not to breast-feed
C)
Give her single-dose perinatal nevirapine
D)
Give the infant trimethoprim-sulfamethoxazole, starting at 4 to 6 weeks of age
Ans:
C
Feedback:
Single-dose nevirapine is an appropriate alternative when zidovudine is not available. However, HAART-containing zidovudine is readily available in the United States. Avoiding breast-feeding will reduce the client's chances of transmitting HIV to her infant. Because the risk of transmission is not zero, prophylaxis with trimethoprim-sulfamethoxazole will protect her infant from PCP until its serostatus is known.
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