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A nurse is teaching a client that is HIV positive about HIV treatment.
The client is 16 weeks pregnant.
Which statement made by the client indicates that she needs more teaching?

During labor, I will get Zidovudine (ZVD) through my IV.

I am planning to breast and bottle feed my baby.

My baby will get Zidovudine (ZVD) orally right after birth for 6 weeks.

During pregnancy, I will take my Zidovudine (ZVD) tablet at the same time every day.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.

Choice B rationale

HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.

Choice C rationale

Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.

Choice D rationale

Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.

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Correct Answer is D

Explanation

Choice A rationale

Heartburn is common due to the relaxation of the lower esophageal sphincter caused by progesterone, but quickening (the first movement of the fetus felt by the mother) typically occurs earlier in pregnancy, around 18-20 weeks.

Choice B rationale

Nausea and vomiting are more common in the first trimester due to hormonal changes, particularly increased levels of hCG. These symptoms often decrease as pregnancy progresses.

Choice C rationale

A stuffy nose and bleeding gums can occur due to increased blood volume and hormonal changes affecting mucous membranes, but these are more noticeable in the earlier stages of pregnancy.

Choice D rationale

Constipation and hemorrhoids are common in the third trimester. The growing uterus can put pressure on the rectum and intestines, slowing down bowel movements and increasing the risk of hemorrhoids.

A. Intrauterine growth restriction. B. Gestational diabetes. C. Congenital heart defects. D. Vision loss.

Correct Answer is A

Explanation

Choice A rationale

Intrauterine growth restriction (IUGR) is a significant risk for newborns of mothers who smoke. Smoking affects placental blood flow, reducing the supply of oxygen and nutrients to the fetus, leading to poor growth.

Choice B rationale

Smoking is not a direct cause of gestational diabetes. Gestational diabetes is primarily related to hormonal changes in pregnancy that affect insulin regulation.

Choice C rationale

Congenital heart defects are not directly linked to smoking. They are usually caused by genetic and environmental factors during early fetal development, not smoking specifically.

Choice D rationale

Vision loss is not directly associated with maternal smoking. Smoking affects fetal growth and development, but vision loss is not a common outcome.

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A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

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A nurse is teaching a client that is HIV positive about HIV treatment.
The client is 16 weeks pregnant.
Which statement made by the client indicates that she needs more teaching?