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) Decrease the amount of potassium in the diet: Steroids can increase potassium loss, so restricting potassium intake is unnecessary and could potentially exacerbate hypokalemia.

b) Administer non-live virus vaccine: Generally acceptable as live-virus vaccines are contraindicated in individuals receiving high-dose steroids due to the risk of developing infections.

c) Limit activity and receive home schooling: While rest might be needed in some situations, home schooling might not always be necessary.

d) Monitor for seizure activity: While monitoring for adverse effects is important, it is not specifically related to the use of high-dose steroids.

A. Do not report any pause in respiration unless it's greater than 20 seconds B. Report any neonate with nasal flaring C. Report any pause in respiration greater than 10 seconds D. Report any respiratory rate of 40 or greater

Correct Answer is B

Explanation

A. Do not report any pause in respiration unless it's greater than 20 seconds.Any pause in respiration can be significant in neonates. A pause in breathing, even if less than 20 seconds, should be reported, as it could indicate a potential problem. This option downplays the importance of monitoring respiratory patterns.

B. Report any neonate with nasal flaring.Nasal flaring in a neonate is a sign of respiratory distress. This instruction is essential because nasal flaring indicates the infant is working harder to breathe and may require further evaluation and intervention.

C. Report any pause in respiration greater than 10 seconds.While this is important, nasal flaring is a more immediate and visible sign of respiratory distress that should be reported.

D. Report any respiratory rate of 40 or greater.A respiratory rate of 40 breaths per minute is within the normal range for neonates. Reporting a normal rate would not be necessary and could create unnecessary concern.

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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?

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Naxlex Comprehensive Predictor Exams

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