A nurse is providing information to a group of new mothers. Which rationale would the nurse provide for why newborns and young infants are more susceptible to infection?

Passive transplacental immunity from maternal immunoglobulin G

Exposure to microorganisms during the birth process

Low levels of antibodies

High level of maternal antibodies to diseases to which the mother has been exposed

Answer and Explanation

The Correct Answer is C

a) Passive transplacental immunity from maternal immunoglobulin G: While this provides some initial immunity, it does not fully account for the susceptibility to infections in newborns and young infants.

b) Exposure to microorganisms during the birth process: Though exposure can occur during birth, it is not the primary reason for heightened susceptibility to infections.

c) Low levels of antibodies: Newborns and young infants have underdeveloped immune systems and fewer antibodies, making them more vulnerable to infections.

d) High level of maternal antibodies to diseases to which the mother has been exposed: Maternal antibodies initially provide some protection, but they gradually decline, contributing to the infant's susceptibility to infections.

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Correct Answer is B

Explanation

a) Obtaining a sweat chloride test: Likely already part of routine monitoring for cystic fibrosis.

b) Reproductive ability: Adolescents with cystic fibrosis may need education regarding how their condition can affect fertility.

c) The effect of pancreatic enzymes on sex hormones: Not a commonly discussed aspect in cystic fibrosis care.

d) Increased need for weight reduction diet: Weight maintenance or specific diets to promote weight gain are more commonly addressed in cystic fibrosis care.

A. Hypothermia related to decreased metabolic state B. Acute pain related to the effects of a congenital heart defect C. Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect D. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow

Correct Answer is C

Explanation

a) Hypothermia related to decreased metabolic state: Unlikely to be directly related to VSD unless it's causing severe complications affecting metabolic function.

b) Acute pain related to the effects of a congenital heart defect: While the child might experience pain due to surgery or interventions, it's not the primary nursing diagnosis for VSD.

c) Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect: VSD causes increased workload on the heart, leading to decreased oxygenation and potentially causing cyanosis and ineffective tissue perfusion.

d) Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow: While pulmonary congestion can occur, ineffective tissue perfusion is more directly related to cyanosis from VSD.

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A nurse is providing information to a group of new mothers. Which rationale would the nurse provide for why newborns and young infants are more susceptible to infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

Correct Answer is B

Explanation

A nurse has admitted a child with ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child?

Correct Answer is C

Explanation

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A nurse is providing information to a group of new mothers. Which rationale would the nurse provide for why newborns and young infants are more susceptible to infection?