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The MMR vaccine (measles, mumps, and rubella) is given subcutaneously at a dose of 0.5 mL if the patient is not immune to rubella.
How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?

A.

Low risk: Routine monitoring.

B.

Moderate to high risk: Initiate VTE prophylaxis per policy.

C.

Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean.

D.

High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes.

Answer and Explanation

The Correct Answer is B

Choice A rationale 
Low risk: Routine monitoring. This choice is not the most appropriate. While routine monitoring is important for all patients, those receiving the MMR vaccine are not at an increased risk for Venous Thromboembolism (VTE) or Postpartum Hemorrhage (PPH) based solely on the administration of this vaccine. 
Choice B rationale 
Moderate to high risk: Initiate VTE prophylaxis per policy. This choice is the most appropriate. The risk of VTE and PPH should be evaluated based on the patient’s overall health status, pregnancy history, and current condition. If the patient is determined to be at moderate to high risk, VTE prophylaxis should be initiated per policy. 
Choice C rationale 
Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine. 
Choice D rationale 
High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine. 
 


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Related Questions

Correct Answer is ["A","B"]

Explanation

The correct answer is choiceA. Manual resuscitation bagandB. An advanced airway kit.

Choice A rationale:

A manual resuscitation bag is essential in pediatric emergencies to provide immediate ventilation support if the child experiences respiratory failure. Given the child’s symptoms of fast and noisy breathing, there is a risk of respiratory distress, making this equipment crucial.

Choice B rationale:

An advanced airway kit is necessary to secure the airway in case of severe respiratory distress or failure. This kit includes tools for intubation, which may be required if the child’s condition deteriorates and manual ventilation is insufficient.

Choice C rationale:

A dose of subcutaneous epinephrine is typically used for anaphylactic reactions. While it is a critical medication in emergencies involving severe allergic reactions, it is not directly related to managing respiratory distress caused by infections or other non-allergic conditions.

Choice D rationale:

The child’s favorite toy can provide comfort and reduce anxiety during medical procedures. However, it is not a critical item for the immediate management of respiratory distress or for the placement of an intravenous line.

Correct Answer is B

Explanation

Choice A rationale
While it’s important to evaluate the parent’s ability to care for the child, this does not directly address the parent’s fear of needles. The parent’s fear of needles is a specific issue that needs to be addressed in order to ensure the child receives the necessary insulin injections.
Choice B rationale
Determining if the child can administer the insulin is a potential solution to the parent’s fear of needles. Some children as young as 10 years old may be able to administer their own insulin injections with proper training and supervision. This would allow the child to manage their diabetes independently and alleviate the parent’s fear of needles.
Choice C rationale
Encouraging the parent to handle the needles may not be effective if the parent has a significant fear of needles. It’s important to respect the parent’s fear and find alternative solutions, such as having the child administer the insulin or finding another person who can assist with the injections.
Choice D rationale
Inquiring if there is another person who can assist with the injections is a potential solution to the parent’s fear of needles. If there is another person available who is comfortable administering the insulin injections, this could alleviate the parent’s fear and ensure the child receives the necessary care.

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