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Case 2: Presentation in Labor with No Prior Antiretroviral Therapy

You answered:

A It is too late to offer antiretroviral therapy for the mother. She should be allowed to deliver vaginally and the newborn should receive oral zidovudine (Retrovir) for 6 weeks.

This answer is incorrect. The mother should immediately receive intravenous zidovudine during labor and the newborn should receive zidovudine for 6 weeks.

Choose another answer:

B Begin zidovudine (Retrovir) by intravenous infusion, allow the mother to deliver vaginally, and give the newborn oral zidovudine for 6 weeks.
C Give the mother a single dose of a combination antiretroviral therapy consisting of oral zidovudine plus lamivudine (Combivir) plus nelfinavir (Viracept) and then allow her to deliver vaginally. The newborn does not need antiretroviral therapy since the mother will have received antiretroviral therapy prior to the delivery.
D It is too late to offer antiretroviral therapy for the mother. Allow the mother to deliver vaginally and give the newborn infant a single dose of nevirapine (Viramune) within 48-72 hours of birth.

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