An 18-year-old pregnant female comes to the free clinic and asks to be tested for HIV. Her test comes back positive. The patient 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. We do know that your baby has a one in four chance of being born with HIV."
B) "Your physician is the best one to ask that question."
C) "If the baby is HIV positive there is nothing we can do about it until it is born, so there is no sense worrying about it now."
D) "It is thought that most perinatal infections occur after exposure during delivery."
Ans: D
Feedback: Mother-to-child transmission of HIV-1 may occur in utero, at the time of delivery, or through breast-feeding, but most perinatal infections are thought to occur after exposure during delivery. Option A is incorrect; even though the information given the patient is correct it is not the best answer. Options B and C are incorrect as they do not answer the question.
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