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Management of the Pregnant Woman Diagnosed with HIV Infection while in Labor

You answered:

B She should be immediately transferred to a hospital for an urgent Cesarean section to reduce the risk of HIV transmission to her child. No antiretroviral therapy is indicated for her, but her infant should receive prophylaxis with daily oral nevirapine starting at birth and continued until one week after breastfeeding has stopped.

This answer is incorrect. In resource-limited settings, urgent Cesarean section is not the most realistic or effective immediate intervention, and is not indicated if labor has already begun. Focusing on rapid administration of effective antiretrovirals is a more beneficial intervention.

Choose another answer:

A She has presented too late for any meaningful and effective efforts to prevent HIV transmission to her child.
C A single oral dose of nevirapine should be given to her immediately, along with a dose of oral zidovudine plus lamivudine, with continuation of the zidovudine plus lamivudine for one week postpartum. Her infant should receive prophylaxis with daily oral nevirapine starting at birth and continued until one week after breastfeeding has stopped.
D Oral zidovudine plus lamivudine should be given to her immediately and continued for one week postpartum; her infant should receive oral zidovudine-lamivudine starting at birth and continued until one week after breastfeeding has stopped.

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