help me pls D:

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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.

Specializes in Complex pedi to LTC/SA & now a manager.

Antibiotics are useless against HIV therefore C is wrong. Prevent infection, A is the best of the options you have. You would administer anti-viral drugs and perform a bloodless c-section to reduce transmission to the baby. Antibiotics not needed would do more harm than good. Look up HIV. You are trying to prevent infections such as PCP pneumonia, increased viral load and other signs of AIDS. Not all HIV + patients are ill.

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Specializes in Complex pedi to LTC/SA & now a manager.

Here's why prevent infection A, is correct.

Separation is just cruel.

Breastfeeding promotes HIV transmission

As HIV is a virus, prophylactic ANTIBIOTIC is useless. (Prophylactic antiviral/antiretroviral would be correct)

http://aidsinfo.nih.gov/education-materials/fact-sheets/20/50/prevention-of-mother-to-child-transmission-of-hiv

http://mobile.aidsmap.com/Mother-to-baby-transmission/page/1044918

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Specializes in Complex pedi to LTC/SA & now a manager.
Okay so my thinking is that if you don't prevent infection, and give a prophylactic antibiotic, baby is less likely to acquire HIV than if you were to only try to prevent infection and not give prophylactic antibiotic. So by that logic, the more correct answer would be C. If I'm way off, please, someone help me out in explaining this lol

You are way off A is correct. Antibiotics are not needed antiretroviral drugs are needed to prevent infection.

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The answer has to be A. You want to prevent the baby from getting it. That is the main goal. C sounds good but Antibiotics won't help in this situation. Hope this helps.

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Think this through... What do antibiotics treat? Bacterial infections...

What does the "V" in HIV stand for? Virus...

The two are unrelated.

Preventing infection is the primary goal and abx aren't going to help prevent HIV

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Specializes in geriatrics, psych.

Nursing main goal I would say A, prevent infection. The Dr. Goal might be C but an RN working in L&D would not be prescribing plus the question is directed toward nursing care and it's not safe to assume the dr did prescribe in these questions. Nursing measure would be to try and prevent infection. Sure a secondary infection might be prevented by prophylactics but it doesn't say the newborn contracted HIV. Just a guess though, there are far more educated people on this site.

Sent from my iPhone using allnurses. Angi/LPN (?RN)

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Thanks for the correction and the explanation guys ! :))))) ??????????

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Thanks for the correction and the explanation guys ! :))))) ??????????

They're right. Wasn't thinking about the fact that it's a virus :p dumb mistake. It was obviously way past my bed time. Lol Sorry to lead you in the wrong direction!

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They're right. Wasn't thinking about the fact that it's a virus :p dumb mistake. It was obviously way past my bed time. Lol Sorry to lead you in the wrong direction!

It's okay :D you tried to help me though ???? thanks so much ??

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Nursing main goal I would say A, prevent infection. The Dr. Goal might be C
Despite what some assert, rarely do the docs and nurses have different "main goals" in acute situations.
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The distractor in this question is "prophylactic antibiotics" because, in fact, neonates often receive prophylactic antibiotics...

in the form of occular gentamicin...

but has nothing to do with HIV.

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Specializes in geriatrics, psych.
Despite what some assert rarely do the docs and nurses have different "main goals" in acute situations.[/quote']

Yes I agree but the point I was trying to make is we are not doctors and although in acute situations nurses may often do things they were taught not to do (Think fast!) In school you can't sway from nurse duties only. The real world however is much different! I'm sure they both have the same main goal. This sounded like a school question to me so I was trying to think like it. ?

Sent from my iPhone using allnurses. Angi/LPN (?RN)

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