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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Medroxyprogesterone is an injectable form of contraception that is given every 12 to 13 weeks. Therefore, the correct statement is that the client will need to return to the clinic in 8 weeks for her next injection.
Option B is incorrect because the client receives only one shot each time she receives this medication.
Option C is incorrect because medroxyprogesterone can decrease bone density, so the client should increase calcium intake.
Option D is incorrect because spotting is a common side effect of medroxyprogesterone, and the client should not discontinue the medication unless advised to do so by her healthcare provider.
Correct Answer is D
Explanation
Broccoli is an excellent source of calcium, with one cup of cooked broccoli providing approximately 62 milligrams of calcium. In comparison, one medium potato provides only around 10 milligrams of calcium, 1/2 cup cubed avocado provides around 11 milligrams of calcium, and one large banana provides only around 6 milligrams of calcium.
Therefore, the nurse should encourage the client to consume foods that are rich in calcium such as leafy greens, tofu, fortified plant-based milk, fortified plant-based yogurt, and other fortified foods. Additionally, the nurse may recommend the client to take calcium supplements as needed to ensure adequate calcium intake during pregnancy.
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