A nurse is reinforcing education about nutrition for a patient who has HIV and has a newborn. Which of the following statements should the nurse provide in the teaching?
“You must breastfeed to give the baby the best nutrients.”
"Breastfeeding is not recommended because of the high risk of transmission.”
“Pumped breastmilk may be given to your child."
"You should sterilize your pumped breastmilk prior to feeding.”
The Correct Answer is B
A. "You must breastfeed to give the baby the best nutrients." While breastfeeding provides essential nutrients, it is not recommended for mothers with HIV due to the risk of viral transmission through breast milk, even if the mother is on antiretroviral therapy.
B. "Breastfeeding is not recommended because of the high risk of transmission." HIV can be transmitted through breast milk, and health organizations, including the WHO and CDC, advise against breastfeeding if safe alternatives, such as formula feeding, are available. Formula feeding is the preferred method in high-resource settings.
C. "Pumped breastmilk may be given to your child." Pumping does not eliminate HIV from breast milk. The virus remains present, posing the same transmission risk as direct breastfeeding.
D. "You should sterilize your pumped breastmilk prior to feeding." There is no reliable method for sterilizing breast milk at home that effectively eliminates HIV without destroying its nutritional value. Instead, formula feeding or donor milk from screened sources is recommended.
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Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Provide frequent and routine verbal updates with the parents. Regular updates help reduce parental anxiety and build trust between the healthcare team and the family. Keeping parents informed reassures them that their child is receiving appropriate care.
B. Encourage the parents to participate in the toddler's plan of care when appropriate. Involving parents in simple caregiving tasks (e.g., soothing the child, assisting with feedings) fosters a sense of control and connection, easing their distress.
C. Perform more frequent health care rounds on the toddler. Increased monitoring ensures early detection of respiratory complications and reassures parents that their child's condition is being closely managed.
D. Conduct interprofessional rounds at the child's bedside so the parents can be included. Including parents in bedside rounds allows them to hear updates from multiple specialists, ask questions, and feel more engaged in decision-making regarding their child's care.
E. Reinforce education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with. While educating parents is important, overwhelming them with detailed explanations of every intervention may actually increase anxiety rather than alleviate it. Teaching should be concise and tailored to what the parents need to know at the moment.
F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital. Personal phone numbers should not be given out for professional and ethical reasons. Instead, parents should be provided with the hospital unit’s contact information for any concerns.
Correct Answer is C
Explanation
A. "Anencephaly affects male fetuses more than female fetuses." Anencephaly occurs more frequently in female fetuses than in males. Studies suggest a slightly higher prevalence in female infants, though the exact reason is unclear.
B. "Cancer during pregnancy is a risk factor for anencephaly." There is no known link between cancer during pregnancy and anencephaly. The primary risk factors include folic acid deficiency, maternal diabetes, and exposure to teratogens (e.g., certain medications, high temperatures, or environmental toxins).
C. "These defects occur in the embryonic stage of pregnancy." Anencephaly is a neural tube defect (NTD) that occurs during the embryonic stage, specifically between weeks 3 and 4 of gestation. During this period, the neural tube fails to close properly, leading to incomplete development of the brain and skull.
D. "Most newborns who have anencephaly survive 1 month." Anencephaly is almost always fatal, with most affected newborns dying within hours to days after birth. There is no cure, and long-term survival is extremely rare due to the severe brain malformation.
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