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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Opening the sterile tray by first unfolding the flap furthest from the body is a correct practice to avoid reaching over the sterile field, which helps maintain the sterility of the field.

Choice B rationale

Holding a sterile item just above waist level is appropriate as long as the item remains within the sterile field's boundaries. Keeping items at this level helps prevent accidental contamination from lower surfaces.

Choice C rationale

Placing a sterile dressing 5 cm (2 in) from the border of the sterile field is acceptable, as the border is considered non-sterile, and maintaining this distance helps ensure the sterility of the item within the field.

Choice D rationale

Opening a sterile package directly over the middle of the sterile field can lead to contamination. Any particles or contaminants from the package may fall into the sterile field, compromising its sterility. .

A. Caring for patients who have wounds draining body fluids. B. Preventing transmission of respiratory and wound infections. C. Caring for all patients. D. There is a suspicion of or risk of infection.

Correct Answer is C

Explanation

Choice A rationale

While it is true that Standard Precautions apply to patients with draining wounds, these precautions are not limited to such scenarios. They are a broader set of practices.

Choice B rationale

Standard Precautions do help prevent the transmission of respiratory and wound infections, but their application is universal, not limited to these conditions.

Choice C rationale

Standard Precautions are designed to be used when caring for all patients, regardless of their diagnosis or infection status, to prevent the spread of infections.

Choice D rationale

Standard Precautions are used routinely with all patients, not only when there is a suspicion or risk of infection. This universal approach helps ensure a high level of infection control.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a sterile field. Which of the following actions should the nurse identify as contaminating the field?

Correct Answer is D

Explanation

The nurse uses the Standard Precautions, as outlined by the Centers for Disease Control and Prevention (CDC), when:

Correct Answer is C

Explanation

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 nurse explains that the body's normal flora serves as:

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A patient has been diagnosed with Rocky Mountain spotted fever. The nurse recognizes this disease is caused by a tick bite that infected the patient with:

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: