(Select all that apply): Which factors can increase the risk of developing shingles? Select all that apply.

Choice A rationale:

Encouraging using sterile instruments for cutting umbilical cords is important in preventing tetanus as contaminated instruments can introduce the

C. tetani spores, leading to infection.

Choice B rationale:

Promoting safe delivery practices in clean facilities is crucial to prevent tetanus in newborns. Clean delivery facilities reduce the risk of exposure to

C. tetani spores, which can enter through unclean delivery practices.

Choice C rationale:

Advising against disposing of animal feces properly is not directly related to preventing tetanus. Tetanus is primarily caused by the introduction of

C. tetani spores into wounds, not through exposure to animal feces.

Choice D rationale:

Educating on avoiding contact with soil or feces that may contain

C. tetani spores is essential in preventing tetanus. The spores can be found in soil and feces, and direct contact with these sources increases the risk of infection.

Choice E rationale:

Suggesting regular booster doses of DTP vaccine during adulthood is an effective measure in preventing tetanus. The DTP vaccine provides immunity against tetanus, and regular boosters are recommended to maintain protection throughout life.

Choice A rationale:

The primary infection of VZV occurs through respiratory droplets, not when a person comes into contact with them. The virus is highly contagious and spreads through respiratory secretions.

Choice B rationale:

Reactivation of VZV in the nerve cells leads to the onset of shingles, not chickenpox. Chickenpox is the primary infection, and after recovery, the virus remains dormant in nerve cells and can reactivate as shingles later in life.

Choice C rationale:

The incubation period of VZV for chickenpox ranges from 10 to 21 days, which is accurate information.

Choice D rationale:

The risk of transmission during reactivation (shingles) is higher than during primary infection (chickenpox) Shingles can cause the development of vesicles containing the virus, which can be contagious if someone comes into direct contact with the fluid from the vesicles. Primary chickenpox, on the other hand, spreads through respiratory droplets and is more widespread during the initial infection.