A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which disease as a common childhood exanthem?
Rubella
Rabies
Mumps
West Nile virus
The Correct Answer is A
A. Rubella (German measles) is a viral infection characterized by a maculopapular rash, making it a classic example of a childhood exanthem. It typically presents with mild fever, lymphadenopathy, and rash, and is most common in children.
B. Rabies is a viral disease transmitted through animal bites and does not cause a generalized rash, so it is not considered an exanthem.
C. Mumps primarily affects the salivary glands, causing parotitis, and does not produce a generalized skin rash.
D. West Nile virus can cause fever and neurological symptoms but is rarely associated with a rash, and it is not classified as a childhood exanthem.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hearing loss in newborns is typically associated with genetic factors, congenital infections (e.g., CMV), or exposure to ototoxic medications. Maternal smoking has not been shown to directly cause hearing deficits, though it can indirectly affect overall fetal development.
B. Congenital heart defects are linked to genetic mutations, maternal diabetes, or teratogenic exposures (like certain medications or alcohol). Cigarette smoking has not been strongly correlated with structural heart anomalies.
C. Type 1 diabetes mellitus is an autoimmune disorder with genetic predisposition. Maternal smoking does not increase the risk of autoimmune diabetes in offspring.
D. Intrauterine growth restriction (IUGR) is a well-documented risk of maternal smoking. Nicotine and carbon monoxide reduce placental blood flow and oxygen delivery, impairing fetal nutrient supply, which can result in low birth weight, preterm birth, and increased neonatal morbidity.
Correct Answer is D
Explanation
A. Immediate reporting and induction are not warranted at this point because the fetus appears to have a normal baseline FHR and no decelerations; initial interventions are noninvasive.
B. Walking around may temporarily reduce maternal comfort or interfere with monitoring; activity is not the first intervention.
C. Turning the client on her left side is a good practice for optimizing uteroplacental perfusion, but it does not stimulate fetal activity if the fetus is asleep.
D. Offering a snack containing carbohydrates can stimulate fetal activity, which is a first-line intervention when there is no movement noted during a nonstress test. This is safe and noninvasive, allowing reassessment of fetal movement before further actions.
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