A client is identified as having hepatitis B surface antigen (HBsAG) early in her pregnancy. Which client statement about the labor and birth process and having hepatitis B infection indicates the need for additional teaching?
1. "Breastfeeding is a good feeding method for my baby."
2. "My baby will get a bath as soon as its temperature is stable."
3. "An internal fetal monitor will be applied as soon as possible during labor."
4. "Two shots will be given to my baby to prevent transmission of hepatitis B."
3
Explanation:
1. Breastfeeding is not contraindicated in a client with HBsAG.
2. The presence of HBsAG indicates that the client is contagious for and capable of transmitting hepatitis B. Perinatal transmission is most likely to occur at the time of birth; thus, measures are taken to prevent exposing the fetus to the mother's blood and body fluids and to clean the baby's skin thoroughly of fluids as soon as possible after birth.
3. An internal fetal monitor will be avoided.
4. A newborn of a mother with HBsAG will receive an injection of hepatitis B immune globulin and a hepatitis B vaccine injection.
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