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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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sieraaa044 sieraaa044
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6 years ago
A female patient who is 8 weeks pregnant is seen by a primary care nurse practitioner (NP) after a routine prenatal screen was positive for human immunodeficiency virus (HIV). A CD4 cell count is 750 cells/mm. The NP should:
 
  a. begin immediate therapy with zidovudine and lamivudine.
  b. begin therapy with zidovudine when she is in her second trimester.
  c. delay treatment with antiretroviral medications until after her pregnancy.
  d. initiate therapy with zidovudine if her CD4 cell count decreases to 500 cells/mm.
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#1
6 years ago
B
Patients who are HIV positive and who are pregnant should be treated with antiretroviral medications, but treatment should be avoided during the first trimester if possible. Zidovudine is recommended and has been shown to reduce the risk of transmission to the fetus from 25 to 8.
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