A nurse is providing information to a group of new mothers. The nurse would explain that newborns and young infants are more susceptible to infection because they have:
1. Low levels of antibodies.
2. High levels of maternal antibodies to diseases to which the mother has been exposed.
3. Passive transplacental immunity from maternal immunoglobulin G.
4. Been exposed to microorganisms during the birth process.
A nurse is providing education to a group of young mothers. The nurse would explain that as children grow, they develop immunity through:
1. Immunization or exposure to the natural disease.
2. Acquiring diseases from family members who had the disease.
3. Acquiring diseases from other children.
4. Being born with diseases already in their systems.
The nurse explains to new parents that as healthy children are exposed to more infections, they:
1. Naturally develop antibodies.
2. Are found to be healthier.
3. Will acquire terminal illnesses.
4. Will weaken their immune systems.
The nurse is teaching a child care class for mothers of young children. The nurse tells the parent that the most common mode of transmission of infectious disease is:
1. Children who are playing with the same toy.
2. Children who are coughing.
3. Children who are sitting together eating meals.
4. Children who are playing board games.
The nurse is explaining the importance of hand washing after using the toilet to parents of young children. Which is the most important reason for this practice?
1. Children’s immune systems are not fully developed.
2. Hand washing is the main way to limit the transmission of disease.
3. Not all bathrooms are clean.
4. Children do not like to have dirty hands.
The nurse is teaching parents how to prevent the spread of infectious disease. Which of the following is the most important health promotion strategy for all age groups of children?
1. Keeping child free from colds
2. Proper hand hygiene
3. Keeping all toys clean and free from germs
4. Keeping child away from sick adults
A child who has not had a tetanus immunization steps on a rusty nail. The child needs immediate protection from tetanus. Which of the following should be given to the child at this time?
3. Killed virus
4. Passive immunity
The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis) immunization for a six-month-old infant. To administer this injection safely, the nurse chooses which of the following needles (size and length), injection type, and injection site?
1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh
2. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid
3. 22-gauge, 1/2-inch needle; IM (intramuscular); dorsogluteal
4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh
A mother refuses to have her child immunized with the measles, mumps, and rubella (MMR) vaccine because she believes that letting her infant get these diseases will help him fight off other diseases later in life. The nurse’s most appropriate response to this mother is to:
1. Tell the mother that by not immunizing her child she may be exposing pregnant women to the virus, which could cause fetal harm.
2. Honor her request because she is the parent.
3. Tell the mother that she is wrong and should have her child immunized.
4. Explain the potential complications of measles, mumps, and rubella infections.
The pediatric clinic has set a goal that 95% or more of the children attending the clinic will be fully immunized. To reach this goal, clinic nurses will teach the families that:
1. The benefits of immunizations outweigh the risks of communicable diseases.
2. Immunizations should be completed by the time the child starts school.
3. Once a child receives a vaccination, that individual has lifelong immunity against that disease.
4. Vaccinations are 100% safe.
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