NGN ATI Child Health Exam RN 2023 LATEST
1.
An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the
... [Show More] nurse prepares for which action?
A.Ask the laboratory to perform virologic testing Correct
B.Obtain blood from the umbilical cord to send to the laboratory
C.Perform a heelstick to obtain a specimen for a Western blot assay
D. Perform a fingerstick to obtain a specimen for an enzyme-linked immunosorbent assay (ELISA)
accurate in infants younger than 18 months because of the persistence of maternal antibodies.
Because of the potential for maternal contamination during delivery, umbilical cord blood
should not be used for testing. HIV-exposed infants should undergo virologic testing within 48
hours of birth and follow-up testing, depending on the initial results.
Test-Taking Strategy: Focus on the subject, newborn infant exposed to HIV. Recalling that the
ELISA and Western blot assay are not accurate in an infant younger than 18 months will assist
you in eliminating these options. Next eliminate the option involving cord blood, knowing that
such blood could be contaminated.
Review: tests for HIV in newborn
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Child Health—Infectious Diseases
Giddens Concepts: Immunity, Infection
HESI Concepts: Immunity, Infection Awarded 98.0 points out of 98.0 possible points.
2.
A nurse providing home care instructions to a mother of a HIV-positive child discusses measures to prevent transmission of the virus. Which statement by the mother indicates a need for further instruction?
A.“I won’t let my children share toothbrushes.”
B. “I’ll wash up blood spills with soap and hot water and allow them to air dry.” Correct
C.“I’ll wash my hands with soap and water if I touch any blood from my child.”
D. “I’ll rinse bloodstained clothing with hydrogen peroxide and then wash it as usual.”
Rationale: The correct method of cleaning up blood spills is to wash the area with soap and
water, rinse with bleach, and let the area air dry. The remaining statements by the mother reflect
correct measures to prevent transmission of the virus.
Test-Taking Strategy: Focus on the subject, transmission of HIV virus. Note the strategic
words “need for further instruction,” which indicates a negative event query and the need to
select the incorrect statement. Recalling that blood spills must be cleaned with a 1:10 [Show Less]