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Review Question - QID 214530

HIV in Pregnancy QID: 214530 (M2.OMB.1)
In scope icon M 7 A
QID 214530 (Type "214530" in App Search)
A 27-year old G1P0 woman comes to the office for her second prenatal visit. She took a home pregnancy test 2 weeks ago which was positive, and her last menstrual period was 3 months ago. Ultrasound at her first prenatal visit confirmed a 10-week intrauterine pregnancy. She has a 5-year history of intermittent IV heroin use but stopped when she learned she was pregnant 2 weeks ago. She does not currently use tobacco, alcohol, or drugs. She has no other known medical conditions. Serum laboratory results from her first visit indicated a positive HIV test. Follow up serum laboratory results reveal the following:

CD4 count: 700 cells/µL
HIV-1 viral load: 950 copies/mL

The patient’s temperature is 98.6°F (37°C), blood pressure is 120/85 mmHg, pulse is 80/min, and respirations are 15/min. Urine toxicology screen is negative. Which of the following is the most appropriate next step in the management of this patient with regard to her HIV status?
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