A client who is 32 weeks pregnant is HIV positive, but asymptomatic. What would be important in managing her pregnancy and delivery?
1. An amniocentesis at 30 and 36 weeks
2. Weekly non-stress testing beginning at 32 weeks' gestation
3. Administration of intravenous antibiotics during labor and delivery
4. Application of a fetal scalp electrode as soon as her membranes rupture in labor
2
Explanation:
1. All invasive procedures that would expose the uninfected infant to the HIV virus are avoided.
2. Clients who are HIV positive are considered high-risk pregnancies. Therefore, beginning at about 32 weeks, these clients have weekly non-stress tests to assess for placental function and an ultrasound every 2 to 3 weeks to assess for intrauterine growth retardation (IUGR).
3. Antibiotics would be ineffective for either the mother or the infant who was HIV positive.
4. All invasive procedures that would expose the uninfected infant to the HIV virus are avoided.
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