Safe, Effective Care Environment
52. An HIV-positive client with type 1 diabetes gives birth at 28 weeks' gestation because of severe preeclampsia. She is asking a nurse about breastfeeding her infant in the neonatal intensive care unit. The nurse should explain to the client that that breastfeeding is contraindicated in the client with:
Test-Taking Tip
Consider the risk and benefit of breastfeeding. The transmission of HIV is a bigger risk to the neonate than the benefit of breastfeeding.
Content Area: Maternity, Postpartum; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
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Answer 1 is incorrect because diabetes is not a contraindication for breastfeeding. Answer 2 is correct because HIV can be transmitted through breast milk. Answer 3 is incorrect because hypertension is not a contraindication for breastfeeding. Answer 4 is incorrect because thyroid disease is not a contraindication for breastfeeding.
