A pregnant client tests positive for the hepatitis B virus (HBV). The client asks the nurse if she will be able to breast-feed the baby as planned after delivery. Which of the following responses by the nurse is most appropriate?

1. "Breast-feeding is allowed after the baby has been vaccinated with immune glob-ulin."
2. "Breast-feeding is not advised, and you should seriously consider bottle-feeding the baby."
3. "You will not be able to breast-feed the baby until 6 months after delivery."
4. "Breast-feeding is not a problem, and you will be able to breast-feed immediately after delivery."


1

Rationale: Although HBV is transmitted in breast milk, after immune globulin has been admin-istered to the newborn, the woman may breast-feed without risk to the newborn. The remaining options are incorrect responses.

Nursing

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