AIDS Certified Registered Nurse (ACRN) Certification 2025 – 400 Free Practice Questions to Pass the Exam

The most appropriate initial care for a pregnant woman with a history of drug abuse who wants to be tested for HIV is to draw blood for HIV testing and hepatitis screen. This action is crucial as it addresses the immediate healthcare need of determining the woman's HIV status and identifying any potential co-infections, such as hepatitis, which are common among individuals with a history of drug abuse. Early identification of HIV is essential for both the mother's health and the health of the fetus, allowing for timely interventions that can significantly reduce the risk of mother-to-child transmission.

While monitoring for symptoms of pain and drug withdrawal may be relevant in managing the patient's overall care, it does not directly address the urgent need for HIV testing. Genetic counseling can be important in certain contexts, particularly if there are hereditary concerns or risks, but it does not directly relate to the immediate requirement for HIV testing. Recommendations for the use of zidovudine would typically follow a confirmed HIV diagnosis, making it an inappropriate initial action prior to testing. Thus, the focus on obtaining laboratory tests is key to providing appropriate prenatal care and ensuring the health of both the mother and the unborn child.