11-26-2006, 03:50 AM
A 24-year-old woman, gravida 4, para 1, aborta 2, is at 28 weeks' gestation by poor dates. She admits to intravenous (IV) drug use and having sex for drugs. She is unsure who the father of this pregnancy is. She has recently undergone treatment for syphilis identified by a positive Venereal Disease Research Laboratory (VDRL) test result and confirmed by a positive fluorescent treponemal antibody (FTA) test. On her last prenatal visit she underwent human immunodeficiency virus (HIV) testing by enzyme-linked immunosorbent assay (ELISA), which was found to be positive and was confirmed with a positive Western blot assay. She inquires as to the significance of this finding on herself as well as her baby. Which of the following statements best summarizes what you will say?
A: Pregnancy accelerates maternal progression from HIV positive to acquired immune deficiency syndrome (AIDS)
B: Mode of delivery has a significant impact on maternal“neonatal transmission of HIV
C: Breast-feeding does not increase neonatal risk of becoming HIV positive
D: Neonates can be protected from HIV by passive immunization at birth
E: Rapidity of disease progression is the same in mother and neonate
A: Pregnancy accelerates maternal progression from HIV positive to acquired immune deficiency syndrome (AIDS)
B: Mode of delivery has a significant impact on maternal“neonatal transmission of HIV
C: Breast-feeding does not increase neonatal risk of becoming HIV positive
D: Neonates can be protected from HIV by passive immunization at birth
E: Rapidity of disease progression is the same in mother and neonate