A mother and her 2-week-old infant, who is breastfed, have been exposed to chicken pox. Although the mother had chicken pox as a child, she is concerned about her baby.
The nurse explains:
The baby should receive immune globulin to protect him from the infection.
The infant is at risk because the baby has not been immunized against the disease.
Both infant and mother are at risk because the mother's immunity was acquired too long ago to be effective.
Neither are at risk, because the mother has naturally acquired immunity, and she passes antibodies to the baby through the breast milk.
The Correct Answer is D
Choice A rationale
While immune globulin can be given to non-immune individuals exposed to chickenpox, the baby already has some protection because the mother has naturally acquired immunity. Hence, giving immune globulin is not necessary in this case.
Choice B rationale
Although the infant has not been immunized against chickenpox, the baby still receives passive immunity through the mother's breast milk. The antibodies transferred via breastfeeding provide some level of protection to the baby.
Choice C rationale
The mother's immunity against chickenpox, acquired from a past infection, remains effective throughout her life. This immunity is transferred to the baby through the placenta during pregnancy and continues through breastfeeding, providing protection to the infant.
Choice D rationale
The mother’s naturally acquired immunity from her childhood infection provides antibodies against chickenpox that she passes on to the baby through the breast milk. This passive immunity helps protect the baby from the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While immune globulin can be given to non-immune individuals exposed to chickenpox, the baby already has some protection because the mother has naturally acquired immunity. Hence, giving immune globulin is not necessary in this case.
Choice B rationale
Although the infant has not been immunized against chickenpox, the baby still receives passive immunity through the mother's breast milk. The antibodies transferred via breastfeeding provide some level of protection to the baby.
Choice C rationale
The mother's immunity against chickenpox, acquired from a past infection, remains effective throughout her life. This immunity is transferred to the baby through the placenta during pregnancy and continues through breastfeeding, providing protection to the infant.
Choice D rationale
The mother’s naturally acquired immunity from her childhood infection provides antibodies against chickenpox that she passes on to the baby through the breast milk. This passive immunity helps protect the baby from the infection.
Correct Answer is D
Explanation
Choice A rationale
Covering the patient with a clean sheet helps in preventing contamination during transport, but it is not the most critical action to prevent droplet transmission.
Choice B rationale
Wearing a gown and gloves is important for contact precautions, but droplet precautions specifically require protection from respiratory droplets.
Choice C rationale
Wearing the appropriate respiratory device is important in airborne precautions, but droplet precautions primarily require mask use.
Choice D rationale
Wearing a mask within 3 feet of the patient is crucial for droplet precautions to prevent the spread of respiratory droplets from the infected patient.
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