What should a nurse explain to a client who tests positive for hepatitis B at 16 weeks of gestation?

A client who tests positive for hepatitis B at 16 weeks of gestation should be informed that they will receive the hepatitis B immune globulin immediately as part of the standard management for such cases. The administration of hepatitis B immune globulin, along with the hepatitis B vaccine, is crucial for preventing the transmission of the virus to the newborn at the time of delivery, providing passive immunity during the early stages of life.

This immediate intervention is essential in managing the health of both the mother and the baby, as it helps reduce the risk of chronic hepatitis B infection in the infant, which can have long-term health implications. Understanding the importance of this step in maternal-fetal care reinforces the necessity of timely vaccinations and immune responses to safeguard the newborn’s health.

Addressing the other options briefly, while follow-up tests may be important in managing hepatitis B, immediate action before delivery is critical. Informing partners about the condition is also a significant health consideration, but the priority during pregnancy remains the safety and health of the mother and the baby. Avoiding contact with other pregnant women is not a recommended practice and does not address the management of the condition effectively.