Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?
A. "I need to be immunized against syphilis because there is no cure.”.
"I can change the cat litter as long as I wear gloves.”.
"The best way to prevent CMV is by thorough and consistent hand hygiene.”.
"If my RPR is low, I will need a rubella vaccine at delivery.”.
The Correct Answer is C
Choice A rationale
Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.
Choice B rationale
Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.
Choice C rationale
The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.
Choice D rationale
RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A rubella titer of 1: indicates the presence of antibodies against the rubella virus, but this does not confirm the absence of a current infection. The titer represents past exposure or vaccination rather than an active infection.
Choice B rationale
A rubella titer of 1: suggests immunity to the rubella virus, making vaccination unnecessary at this time. Vaccination is typically recommended for those without immunity to prevent future infection.
Choice C rationale
A titer of 1: indicates the presence of antibodies sufficient to confer immunity to the rubella virus. This level is generally considered protective, implying the client has either had the infection before or has been vaccinated.
Choice D rationale
A mild rubella infection would not typically be determined solely by the titer level. Clinical symptoms and further diagnostic tests are required to diagnose an active rubella infection accurately.
Correct Answer is B
Explanation
Choice A rationale
Hepatitis B immune globulin at 1 week followed by hepatitis B vaccine monthly for 6 months is incorrect. This schedule delays the immune response and leaves the infant unprotected during the critical early period when the risk of transmission is highest.
Choice B rationale
Hepatitis B immune globulin and hepatitis B vaccine within 12 hr of birth is the correct approach. This combination provides immediate passive immunity through the immune globulin and active immunity through the vaccine, significantly reducing the risk of hepatitis B transmission from mother to child.
Choice C rationale
Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is incorrect. Monthly administration alone is insufficient without the initial dose of immune globulin, especially since the infant may remain at risk until the negative test result.
Choice D rationale
Hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days is incorrect. The delay in the first vaccine dose reduces its efficacy, and the immune globulin schedule does not align with established guidelines for preventing hepatitis B transmission.
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