If a hepatitis B screen is positive for antigens in a pregnant client, what does the nurse conclude?

A positive hepatitis B screen for antigens in a pregnant client indicates that the mother is currently infected with the hepatitis B virus. This means that there is a risk of transmission of the virus to the newborn during delivery. In such cases, it is standard practice to administer hepatitis B immune globulin (HBIG) and the hepatitis B vaccine to the newborn shortly after birth. This combination of treatments is crucial in preventing the transmission of the virus from the mother to the infant and is part of the recommended guidelines for managing pregnant women who test positive for hepatitis B antigens.

The context surrounding this clinical practice is essential. The administration of HBIG and the vaccine significantly reduces the likelihood of the newborn developing hepatitis B, which can have serious long-term health implications. Therefore, the conclusion drawn from a positive antigen test is based on established medical protocols aimed at safeguarding the health of both the mother and the infant.