The nurse is counseling an HIV-positive woman who has just given birth to a baby. The nurse should advise the client to
a. anticipate the needs of her child immediately and make arrangements for place-ment in a setting where her child's life will be comfortable.
b. avoid breast-feeding her infant if she has access to a safe water supply to decrease the chances of vertical transmission.
c. report all of her sexual partners to the infectious disease department in order to break the chain of transmission of the disease.
d. seek professional counseling to deal with the guilt associated with the almost certain passing of the disease to her child.
B
Perinatal HIV exposure can occur during pregnancy, during vaginal delivery, and postpartum through breast-feeding. In places where the water supply is safe, bottle- feeding should be en-couraged. In areas of the world where the risk of dying from contaminated water is high, breast-feeding is a better option. Advising the mother to place the child elsewhere is premature and judgmental. Reporting sexual partners for tracking purposes is an important activity, but is not more of a priority than keeping her baby safe. The use of zidovudine in pregnant women has drastically reduced vertical transmission.
You might also like to view...
A public health nurse (PHN) collaborates with local community leaders to develop a local cam-paign educating about the importance of wearing a seat belt. Which of the following client sys-tems of the integrative model does this describe?
a. Community b. Aggregate c. Family d. Individual
After completing the health history, the nurse assessing the musculoskeletal system will begin by
a. having the patient move the extremities against resistance. b. feeling for the presence of crepitus during joint movement. c. observing the patient's body build and muscle configuration. d. checking active and passive range of motion for the extremities.
Which information does the professor teach the class regarding how a child’s body compensates for cardiogenic shock?
a. Splanchnic arteries are constricted to divert blood from the skin, kidneys, and gut to the heart and brain. b. Peripheral blood vessels are constricted to raise blood pressure. c. Adrenergic responses produce tachycardia to increase cardiac output. d. The renin-angiotensin-aldosterone system is stimulated when renal function decreases. e. Compensation prevents the child from developing hepatic or mesenteric failure
Factors related to smoking that contribute to cardiovascular disease include:
a. vasodilation. b. decreased risk for embolus. c. increased risk for ischemia. d. the harmful effects of active smoking are not similar to the effects of passive smoke.