What is the appropriate information for a nurse to discuss with a pregnant client who is HIV positive?

Continuing prescribed antiretroviral therapy during pregnancy is crucial for managing HIV in a pregnant client. This treatment helps to reduce the viral load in the mother, significantly lowering the risk of vertical transmission of the virus to the infant during pregnancy, labor, and delivery. Maintaining effective viral suppression is essential for the health of both the mother and the developing fetus, leading to better outcomes in perinatal care.

Infants born to HIV-positive mothers must be closely monitored and may need to start prophylactic treatment to prevent HIV infection. The recommendation to continue antiretroviral therapy is a key aspect of comprehensive prenatal care for these clients, ensuring that the health of both the mother and the child is prioritized.

Other options do not align with the standard guidelines for managing HIV in pregnancy. Exclusive breastfeeding is contraindicated for HIV-positive mothers due to the risk of HIV transmission through breast milk. Additionally, HIV-exposed infants often require some form of treatment or prophylaxis post-birth. It is also important for pregnant individuals to receive recommended vaccinations, including the tetanus-diphtheria-pertussis vaccine, which can be safely administered during pregnancy to protect both the mother and the newborn.