An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is going to be born with HIV. What is the nurse's best response?
A) "There is no way to know that for certain, but we do know that your baby has a one in four chance of being born with HIV."
B) "Your physician is likely the best one to ask that question."
C) "If the baby is HIV positive there is nothing that can be done until it is born, so try your best not to worry about it now."
D) "It's possible that your baby could contract HIV, either before, during, or after delivery."
Ans: D
Feedback:
Mother-to-child transmission of HIV-1 is possible and may occur in utero, at the time of delivery, or through breast-feeding. There is no evidence that the infant's risk is 25%. Deferral to the physician is not a substitute for responding appropriately to the patient's concern. Downplaying the patient's concerns is inappropriate.
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