QBANK A 32-year-old woman, gravida3, para2, at 37 weeks' gestation comes to the physician for a prenatal visit. She has no current complaints. Her past medi

[DianaZ]

A 32-year-old woman, gravida3, para2, at 37 weeks' gestation comes to the physician for a prenatal visit. She has no current complaints. Her past medical history is significant for hepatitis C infection, which she acquired through a needle stick injury at work as a nurse. She is hepatitis B and HIV negative. She takes no medications and has no allergies to medications. Her prenatal course has been uncomplicated. She wants to know whether she can have contact with the baby or breast-feed given her hepatitis C status. Which of the following is the correct response?

A. There is no evidence that breast-feeding increases HCV transmission
B. There is strong evidence that breast-feeding increases HCV transmission
C. Complete isolation is not needed but breast-feeding is prohibited
D. The patient should be completely isolated from the baby
E. Casual contact with the baby is prohibited