The nurse is providing prenatal teaching to a client who just learned she is pregnant. The client asks, "Will my baby be born with HIV because I am HIV-positive?" The nurse's most accurate response is:
1. "Yes, because HIV is transmitted through the shared maternal-fetal circulation."
2. "Yes, because the baby will come in contact with your blood during delivery."
3. "Not necessarily, if you take your prescribed ZDV and deliver by C-section."
4. "No, the doctor will make sure to take all the necessary precautions to prevent that."
3
Rationale: While HIV transmission to the fetus can occur during pregnancy, the greatest risk is during delivery. If the mother takes ZDV and delivers by cesarean section, the risk of fetal transmission is greatly reduced, and there is a good chance the baby will test negative for HIV.
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