单选题 A primigravida client with acquired immunodeficiency syndrome (AIDS) is in labor at term. In preparing her nursing care plan, the nurse should include which of the following nursing diagnoses ？（）

A、 Risk for fetal or maternal injury related to the crisis of childbearing.
B、 Risk for infection related to suppressed immune status.
C、 Risk for deficient fluid volume related to dehydration.
D、 Risk for fetal injury related to uteroplacental insufficiency.

【正确答案】 B

【答案解析】Infection at any time is a problem for the client with AIDS because the immune system is depressed. Invasive procedures, which always increase the risk of infection, are numerous during labor and delivery. Clients with AIDS usually die from opportunistic diseases, not childbirth itself. Deficient fluid volume isn't a major concern to the nurse at this time. The fetus may acquire AIDS in utero, but it isn't currently believed that AIDS directly affects the placenta or oxygen transfer to the fetus.