 You see a 25-year-old pregnant woman in her third trimester who presents with elevated liver enzymes and is found to have a positive surface antigen for Hepatitis B.

C. Give the mother Hepatitis B immune globulin and vaccinate the infant at time of birth

Answer: C-Give the mother Hepatitis B immune globulin and vaccinate the infant at time of birth

Without intervention, vertical transmission of the hepatitis B virus is high. Studies have demonstrated that giving the mother immune globulin and vaccinating the infant is highly effective at reducing infection for the infant. The use of antiretrovirals during pregnancy remains controversial and is not routinely recommended.

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