help me pls D:

[johwen93]

Can someone help me to tell the best answer and tell me why? (Rationale) cause I really get confused the answer between A and C. Thanks for advance! :)))

A newborn whose mother confirmed wit HIV. What is the nursing main goal?

A.prevent infection

B.encourage breast feeding

C.administer prophylactic antibiotic

D.separated mother and baby.

[Undone]

I think you misunderstood my point, OP. The main goal is to prevent infection, the immune system is compromised in HIV.

the immune system is compromised in HIV.

Not necessarily.

People who are responding well to antiretroviral therapy generally have pretty normal immune response.

[JustBeachyNurse, LPN]

The child doesn't necessarily have HIV. The current treatment protocols do not recommend additional prophylactic antibiotics other than the current standard of care (I.e. gentamycin to the eyes) The goal is to prevent (HIV) infection and that can and has been accomplished by following the current antiretroviral therapy during pregnancy, avoiding breastfeeding, and starting antiretroviral therapy with the newborn per protocol...usually at one month of life.

The newborn of an HIV + mother is no more immune compromised than any other term newborn.

[nurseprnRN, BSN, RN]

Antibiotics aren't effective for HIV. It's a VIRUS.

[mclennan, BSN, RN]

As an HIV educator this thread makes me weep for the future

[Undone]

It doesn't say anything about ART or CD4 count for that matter, so as a nursing exam question I would have to read it as compromised immune system.

[Esme12, ASN, BSN, RN]

As an HIV educator this thread makes me weep for the future

I don't weep for the future these are students who are LEARNING! Lets assist them on the critical thinking process necessary to become sucessful competent new nurses.

As an HIV educator this thread makes me weep for the future

Why, because students don't know everything?

[JustBeachyNurse, LPN]

It doesn't say anything about ART or CD4 count for that matter, so as a nursing exam question I would have to read it as compromised immune system.

And you would be incorrect. Read the links I posted above. The standard of care is to prevent infection not prophylactic antibiotics. Prophylactic antibiotics arent even given any longer for many cardiac conditions such as mitral valve prolapse. You cannot assume the baby is immune compromised nor that the mother is immune compromised. HIV+ does not equal immune compromised as leukopenia or active chemotherapy. AIDS is immune deficiency. Not everyone HIV+ progresses to AIDS, in fact many won't if they diligently follow the recommended antiretroviral treatment plan.

[nurse3131, RN]

I'll go for option: A

[Undone]

My answer was not to give prophylactic antibiotics. It was to prevent infection. What I was trying to say was that in a nursing exam, with the only information given being that the mother is HIV positive, that you would have to go for the main goal that you could relate to that, which would be to prevent infection due to the implied compromised immune system.

[ToyaB]

The answer is A. HIV is not a bacterial infection. It's a viral one, so I would go with A. You primary goal would be to prevent infection, but a antibiotic wouldn't do it. This baby is automatically coming via Cesarean.