J.A. is a 34 year old who

J.A. is a 34 year old who was diagnosed nine years ago with HIV. She believed that she had been infected through heterosexual contact with a previous boyfriend. She has been asymptomatic and was taking no medications. J.A. She has no other medical problems. She lives with her boyfriend and her eight-year-old daughter, who are HIV-negative; she reports using condoms regularly, but she has had two unplanned pregnancies last year, which were electively terminated. Her CD4 T-cell counts remains stable and her viral load has been low without antiretroviral medications. Two years ago, J.A. and her boyfriend married. Three months before her current visit, J.A. and her husband decided they desire to have a child. J.A. was referred to specialists in infectious diseases and obstetrics. She felt well and had had no recent fevers, chills, cough, shortness of breath, abdominal pain, vaginal discharge, night sweats, weight loss, or other symptoms. The couple uses condoms at all times. She appeared well. Her vital signs and physical examination were normal. 1. What would be the expected management for J.A. should she become pregnant? 2. What prenatal HIV education would you as the nurse provide to J.A. to prepare her for pregnancy and birth? Reply

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