The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The client asks the nurse about the feeding options that are available. Which response should the nurse make to the client?

“You will need to bottle-feed your newborn.”“You will need to feed your newborn by nasogastric tube feeding.”“You will be able to breast-feed for 6 months and then will need to switch to bottle-feeding.”“You will be able to breast-feed for 9 months and then will need to switch to bottle-feeding.”

Explanation.

Perinatal transmission of HIVcan occur during the antepartum period, during labor and birth, or in the postpartum period if the mother is breast-feeding. Clients who have HIV are advised not to breast-feed. There is no physiological reason why the newborn needs to be fed by nasogastric tube.