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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale: Administer IV fluids with electrolytes: This is crucial to rehydrate the client and correct electrolyte imbalances caused by excessive vomiting, a common complication of hyperemesis gravidarum.
Choice B rationale: Offer small, frequent meals high in protein: Small, frequent meals can help manage nausea and vomiting by preventing the stomach from becoming empty, while high-protein foods can provide necessary nutrients and energy.
Choice C rationale: Administer antiemetics as prescribed: Antiemetics can help control nausea and vomiting, improving the client's ability to tolerate oral intake and maintain hydration and nutrition.
Choice D rationale: Encourage the client to increase oral fluid intake immediately: While increasing oral fluid intake is beneficial, it may not be immediately feasible due to the severity of nausea and vomiting in hyperemesis gravidarum. Hence, initial IV fluid therapy is prioritized.
Choice E rationale: Perform continuous fetal monitoring: Continuous fetal monitoring is not typically necessary in the early stages of pregnancy, especially at 11 weeks of gestation. The primary focus should be on stabilizing the mother's condition to support overall pregnancy health.
Correct Answer is A
Explanation
Choice A rationale
Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.
Choice B rationale
While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.
Choice C rationale
The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.
Choice D rationale
Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .
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