system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 23-year-old primigravid woman comes to the physician at 36 weeks' gestation for her first prenatal visit. She confirmed the pregnancy with a home urine pregnancy kit a few months ago but has not yet followed up with a physician. She takes no medications. Vital signs are within normal limits. Pelvic examination shows a uterus consistent in size with a 36-week gestation. Laboratory studies show:
Hemoglobin 10.6 g/dL
Serum
Glucose 88 mg/dL
Hepatitis B surface antigen negative
Hepatitis C antibody negative
HIV antibody positive
HIV load 11,000 copies/mL (N < 1000 copies/mL)
Ultrasonography shows an intrauterine fetus consistent in size with a 36-week gestation. Which of the following is the most appropriate next step in management of this patient?"
assistant
Start cART and schedule cesarean delivery at 38 weeks' gestation