A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care?
Instruct the client to stop taking the antiretroviral medications at 32 weeks of gestation.
Use a fetal scalp electrode during labor and delivery.
Bathe the newborn before initiating skin-to-skin contact.
Administer a pneumococcal immunization to the newborn within 4 hr following
The Correct Answer is C
The purpose of bathing the newborn before initiating skin-to-skin contact is to decrease the risk of transmission of the virus from the mother to the newborn. Instructing the client to stop taking the antiretroviral medications at 32 weeks of gestation is incorrect as these medications should be taken throughout pregnancy to decrease the risk of transmission to the fetus.
Using a fetal scalp electrode during labor and delivery is also not an appropriate action as it increases the risk of transmission of the virus to the newborn. Administering a pneumococcal immunization to the newborn within 4 hours following birth is not specific to HIV positive newborns and is not related to preventing transmission of the virus.
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Related Questions
Correct Answer is C
Explanation
The nurse should include in the teaching that clients who use a diaphragm for birth control should have an annual examination to assess its fit and effectiveness. The nurse should also educate clients on the proper use and care of the diaphragm.
Spermicide should be used no more than 30 minutes prior to sexual intercourse, not 3 hours prior.
Emergency contraception does not provide ongoing protection against pregnancy, so clients will need to use another form of birth control immediately after taking the medication.
Fertility can return quickly after the removal of an IUD, usually within a few weeks to a month.
Correct Answer is D
Explanation
Abdominal ultrasounds are noninvasive imaging tests that use high-frequency sound waves to create images of the internal organs. When an abdominal ultrasound is performed, the client is typically asked to drink water before the test and to hold the urine to ensure that the bladder is full. This full bladder helps to create a clear image of the uterus and the developing fetus.
Option A is incorrect because applying perfumed lotion to the abdomen can interfere with the ultrasound waves and may affect the quality of the images.
Option B is also incorrect because having an empty stomach is not necessary for an abdominal ultrasound.
Option C is also incorrect because a stool softener is not necessary for an abdominal ultrasound.
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