Question

Describe how you would anticipate to deliver care for an HIV-positive mother in active labor with newly ruptured membranes. A different mother has a known history of placenta previa. Describe how you would anticipate nursing care and interventions for this patient.

Answer 1

Ans) ARVs during labour and delivery:

ZDV (300 mg) every 3 hours until
delivery
+
3TC (150 mg) at onset of labour and
then every 12 hours until delivery
+
NVP (200 mg once) at onset of
labour

Nursing Intervention for HIV patient:

Wear protective eye wear, masks or face shields (with safety glasses or goggles) during procedures likely to generate droplets of blood or body fluids. In general, protective eye wear, masks and clothing are not needed for routine care of AIDS virus-infected persons.

Nursing Intervention for other with placenta previa:
- Assess fetal heart sounds to monitor the wellbeing of the fetus.

- Monitor uterine contractions to establish the progress of labor of the mother.

- Weigh perineal pads used during bleeding to calculate the amount of blood lost.

- Assist the woman in a side lying position when bleeding occurs.