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A 2-month-old infant contracts a disease through vertical transmission.
Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

The infant received a scheduled immunization.

The father fed the infant spoiled baby food.

The mother is breastfeeding the infant.

The infant was bitten by an infected mosquito.

Answer and Explanation

The Correct Answer is C

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While immunizations are important for preventing many diseases, they are not typically associated with vertical transmission. Vertical transmission refers to the transmission of a disease or condition from mother to child during the period immediately before and after birth.

Choice B rationale

Feeding an infant spoiled food can potentially lead to foodborne illnesses, but it is not associated with diseases that are vertically transmitted.

Choice C rationale

Breastfeeding is a common method of vertical transmission. Certain infections in the mother can be passed to the infant through breast milk. Therefore, if a 2-month-old infant contracts a disease that could be transmitted vertically, it would be important to investigate if the mother could be the source of the infection.

Choice D rationale

While mosquito bites can transmit certain diseases, such as malaria or Zika virus, this is not considered a form of vertical transmission. Vertical transmission specifically refers to the transmission of diseases from mother to child during the period immediately before and after birth.

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Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While an annual health fair can provide valuable health screenings and education, it may not be the most critical resource for a rural community.

Choice B rationale

A family planning center can offer important services, but it may not be the most urgent need for the entire community.

Choice C rationale

Access to trauma care is crucial in rural areas where distances to hospitals can be great. Injuries and acute illnesses require immediate attention, and having access to trauma care can significantly improve outcomes.

Choice D rationale

While a plan for weather-related disasters is important, it does not address the everyday healthcare needs of the community.

A. The patient reports being teased by his friends for being “overweight.”. B. The patient prefers solitary play situations. C. The patient lives with his mother and younger brother in subsidized housing in an inner city setting. D. The patient reports becoming easily short of breath.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.

Choice B rationale

Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.

Choice C rationale

Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.

Choice D rationale

The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.

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A 2-month-old infant contracts a disease through vertical transmission.Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?

Nursing Test Bank

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A 2-month-old infant contracts a disease through vertical transmission.
Which situation should the nurse investigate further to ascertain how the infant might have been exposed to the disease?