The clinic nurse is assessing a child who is scheduled to receive a live virus vaccine. What are the general contraindications associated with receiving a live virus vaccine? (Select all that apply).
The mother reports that the child is having intermittent episodes of diarrhea
Mother reports that the child has recently been exposed to an infectious disease
The child has a disorder that caused a severely deficient immune system
The child has symptoms of a cold
The child had a previous anaphylactic reaction to the vaccine
Correct Answer : C,E
A. Mild diarrhea is not generally a contraindication for receiving a live virus vaccine.
B. Recent exposure to an infectious disease, unless it’s the disease in question, is not a contraindication.
C. Children with severe immunodeficiency are contraindicated from receiving live virus vaccines, as their weakened immune system cannot handle the live attenuated virus.
D. Mild cold symptoms are typically not a contraindication for live virus vaccines.
E. A previous anaphylactic reaction to a vaccine is a strict contraindication to receiving that vaccine again due to the risk of a life-threatening allergic reaction.
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Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Accordion style gates can be hazardous as they may pinch a child's fingers; safety gates should be solid and secure.
B. A snug-fitting mattress in the crib is crucial to prevent the child from getting trapped or suffocated.
C. Tying plastic bags in knots helps prevent a child from suffocating or choking if they play with discarded bags.
D. Setting the water heater at 65.6° C (150° F) is too hot for a child's safety; it should be set lower to prevent burns.
E. Serving food in small, non-circular pieces reduces the risk of choking, which is vital for a 10-month-old who is learning to eat solid foods.
Correct Answer is ["A","D","F","G"]
Explanation
A. Development typically progresses from the head (top) to the feet (bottom), reflecting a cephalocaudal pattern.
B. This statement is inaccurate; development is not characterized by functional to nonfunctional but rather by increasing complexity.
C. This pattern is incorrect; development does not proceed from outside to inside but instead follows a different trajectory.
D. The development pattern from the center (proximal) to the periphery (distal) is known as the proximodistal pattern of development.
E. This statement is not correct; development does not follow a bottom-to-top pattern.
F. Development does move from simple skills to more complex skills as infants grow.
G. Growth and development indeed follow a pathway from general skills to more specific tasks as children refine their abilities.
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