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학습 자료 둘러보기 →For a pregnant client with HIV, the most critical laboratory value to report is a CD4+ T-cell count below 200 cells/mm³. This threshold defines a progression to AIDS and signals severe immunosuppression, placing the client at immediate risk for opportunistic infections and increasing the likelihood of perinatal transmission.
The nurse's priority is to recognize this value as a medical emergency requiring prompt antiretroviral therapy adjustment and prophylaxis against opportunistic infections. While other lab values such as mild anemia (hemoglobin 10.2 g/dL) or borderline leukopenia are common in pregnancy and HIV, they do not represent the same acute threat to maternal and fetal health as a critically low CD4 count.
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