The patient at 9 weeks' gestation has been told that her HIV test was positive. The patient is very upset and tells the nurse, "I didn't know I had HIV! What will this do to my baby?" The nurse knows teaching has been effective when the patient states:
1. "I cannot take the medications that control HIV during my pregnancy because they will harm the baby."
2. "My baby will probably be born with anti-HIV antibodies, but that doesn't mean it is infected."
3. "The pregnancy will increase the progression of my disease and will reduce my CD4 counts."
4. "The HIV won't affect my baby, and I will have a low-risk pregnancy without additional testing."
Correct Answer: 2
Rationale 1: Most of the medications that control HIV progression are safe to take during pregnancy. Antiretroviral medications are recommended during pregnancy to prevent perinatal transmission.
Rationale 2: Babies of HIV-positive women or women with AIDS are born with maternal anti-HIV antibodies. These antibodies clear over time, and an accurate test can be obtained by 15 months of age.
Rationale 3: There is no evidence to indicate that pregnancy increases the progression of HIV/AIDS.
Rationale 4: Pregnancy affected by HIV/AIDS is considered complicated, and the fetus is monitored closely. Fetal assessments include weekly nonstress tests beginning at 32 weeks.
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