In planning care for a pregnant client with AIDS, what should be identified as the priority problem?

In planning care for a pregnant client with AIDS, what should be identified as the priority problem?

• A. History of IV drug use
• B. Inverted nipples
• C. Poor hygiene
• D. Low fluid intake

Answer: (A)

The main idea here is identifying a factor that most directly shapes nursing priorities for a pregnant client with AIDS. A history of IV drug use stands out because it signals exposure to HIV and potential co-infections, and it often correlates with challenges in treatment adherence and higher risk of transmission to the baby. This drives the care plan toward strategies to reduce vertical transmission and protect maternal health, such as antiretroviral therapy during pregnancy and careful delivery planning. Inverted nipples are a benign breast condition and don’t influence HIV risk or perinatal transmission. Poor hygiene and low fluid intake are general pregnancy concerns and not specific indicators of AIDS-related risk.

The main idea here is identifying a factor that most directly shapes nursing priorities for a pregnant client with AIDS. A history of IV drug use stands out because it signals exposure to HIV and potential co-infections, and it often correlates with challenges in treatment adherence and higher risk of transmission to the baby. This drives the care plan toward strategies to reduce vertical transmission and protect maternal health, such as antiretroviral therapy during pregnancy and careful delivery planning.

Inverted nipples are a benign breast condition and don’t influence HIV risk or perinatal transmission. Poor hygiene and low fluid intake are general pregnancy concerns and not specific indicators of AIDS-related risk.