A human immunodeficiency virus (HIV)-positive patient taking highly active antiretroviral therapy informs the nurse she is now pregnant. What advice regarding drug therapy does the nurse give this patient?

a. "Stop taking these drugs for your entire pregnancy."
b. "Stop taking these drugs for the first trimester and start again for the second and third trimesters."
c. "Continue to take these drugs throughout your pregnancy exactly as they have been prescribed."
d. "It will be necessary to double your dosages of these drugs to ensure your unborn baby is adequately protected."


C
Antiretroviral drugs for HAART are recommended to be taken by pregnant women who are known to be HIV positive because the virus can cross the placenta and infect the fetus. These drugs, when taken as prescribed, can reduce the chances of fetal infection from about 30% to about 8%. Dosages are based on the woman's viral load, not on weight or pregnancy status.

Nursing

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