During the history, the client admits to being HIV-positive, and says she knows that she is about 16 weeks pregnant
Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply. 1. "During labor and delivery, I can expect the zidovudine (AZT) to be given in my IV."
2. "After delivery, the dose of zidovudine (AZT) will be doubled to prevent further infection."
3. "My baby will be started on zidovudine (AZT) within 12 hours of delivery."
4. "My baby's zidovudine (AZT) will be given in a cream form."
5. "My baby will not need zidovudine (AZT) if I take it during my pregnancy."
1, 3
Rationale:
1. All HIV-positive clients are prescribed a three-part therapy after the first trimester. During the labor and delivery process, the doses will be given intravenously.
2. The mother will continue with her oral dosage of zidovudine (AZT) after delivery just as prior to delivery.
3. Within 8–12 hours after delivery, the infant is administered oral zidovudine (AZT), and he is kept on the medication a minimum of six weeks.
4. The initial treatment is zidovudine (AZT) orally every day. In order to keep the level consistent, it is recommended that dosages be taken consistently.
5. The infant is administered oral zidovudine (AZT) and kept on the medication a minimum of six weeks.
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