16.1) A nurse is providing information to a group of new mothers. Which statement best explains
why newborns and young infants are more susceptible to
... [Show More] infection?
1. "They have high levels of maternal antibodies to diseases to which the mother has been
exposed."
2. "They have passive transplacental immunity from maternal immunoglobulin G."
3. "They have immune systems that are not fully mature at birth."
4. "They have been exposed to microorganisms during the birth process." correct answer: 3. Newborns have a limited storage pool of neutrophils and plasma proteins to defend against
infection. Newborns' and young infants' high levels of maternal antibodies, passive transplacental
immunity, and exposure to microorganisms during the birth process are all true but are incorrect
answers because they do not explain the susceptibility of newborns and young infants to
infection.
16.2) The nurse is discussing ways to treat fever in the home environment to a group of parents in
the community. Which statement is appropriate for the nurse to include in the presentation?
1. "Ibuprofen is the only effective means to reduce fever."
2. "If the child requires more than one dose of acetaminophen antibiotics are needed."
3. "Purchase a new bottle of acetaminophen for your newborn because it will have recommended
medication concentration."
4. "It is not necessary to follow the recommendations on the bottle of ibuprofen as this will not
prevent an overdose for your child." correct answer: 3. The recommendation to purchase a new bottle of acetaminophen due to recommended
medication concentrations is an appropriate statement for the nurse to include in the teaching
session. The other statements are inaccurate or inappropriate for the nurse to include in the
teaching session.
16.3) The nurse prepares the second diphtheria, tetanus toxoid, and acellular pertussis (DTaP) and
second inactivated polio vaccine (IPV) immunization injections for an infant who is 4 months
old. The nurse may also give which of immunizations during the same well-child-care
appointment?
1. Var (varicella)
2. TIV (influenza)
3. MMR (measles, mumps, rubella)
4. Haemophilus influenza type B (HIB) correct answer: 4. Haemophilus influenza type B (HIB) vaccine is given at 2, 4, 6, and 12 to 15 months of age
(four doses). None of the other vaccines can be given to a 4-month-old infant. Influenza (TIV)
vaccine may be given yearly to infants between 6 months and 3 years of age. Measles, mumps,
and rubella (MMR) vaccine is given at 12 to 15 months and 4 to 6 years of age (two doses).
Varicella (Var) is given at 12 to 18 months or any time up to 12 years for one dose; for 13 years
and older two doses are given, 4 to 8 weeks apart.
16.4) A mother refuses to have her child be immunized with 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. Which response by the nurse is most appropriate?
1. Honor her request because she is the parent.
2. Explain that antibodies can fight many diseases.
3. Tell her that not immunizing her infant may protect pregnant women.
4. Explain that if her child contracts measles, mump [Show Less]