This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Infections in pregnancy, Subject name: Gynaecology & Obstetrics
A woman presents at term pregnancy for first antenatal visit and tests positive for HIV in screening and confirmatory tests. Next step in management is? 
Select and explain. 
A. Sta A after clinical staging, B. Plan an early delivery and sta A after it, C. Sta A immediately, D. Sta A after CD4 counts
C: Sta A immediately
Answer: C: Sta A immediately 
Explanation: Lifelong A is to be initiated in all pregnant women with confirmed HIV infection regardless of WHO clinical stage or CD4 counts. Samples for CD4 counts must be taken before staing A, but there is no need to wait for repos. TDF+3TC+EFV is recommended as first line A in pregnant and breast feeding women, including women in their first trimester and women of childbearing age. (NOTE: EIRENZ IS NOT CONTRAINDICATED IN PREGNANCY)