chapter 25 caring for the child with an immunological or infectious condition nursing school test banks
chapter 25 caring for the child with an immunological or infectious condition nursing school
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Chapter 25: Caring for the Child With an Immunological or Infectious Condition Nursing School Test Banks
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Chapter 25: CarŤng for the Search …
ChŤld WŤth an
ImmunologŤcal or
InfectŤous CondŤtŤon
NursŤng School Test Banks
Chapter 25: Caring for the Child With an Immunological or
Infectious Condition
MULTIPLE CHOICE
1. A nursing faculty member is explaining the pediatric
immune system to students. Which statement is correct?
A. Children are born with intact immune systems.
B. Childrens immune systems develop over 1 year.
C. Immunity isnt functional until about 6 months.
D. Mothers immunity is babies primary line of defense.
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,ANS: A
Children are born with an intact immune system. There
immune system, however, is immature. Infants do retain
some immunity from their mothers from birth until about 6
months. The other statements are incorrect.
2. A child is receiving vaccinations at a well-baby clinic. The
nurse explains to the mother that the vaccinations provide
which type of immunity?
A. Active
B. Innate
C. Man-made
D. Passive
ANS: A
Vaccinations provide one type of active immunity. Passive
immunity is brought about through immunoglobulins, either
passed via the mother or given to the child through
another means. Innate protection is provided by physical
barriers, such as the skin or mucous membranes. Man-made
immunity is not a classification of immunity.
3. A nursing student is learning about the immune system.
Which statement about immunoglobulins is correct?
A. Adult levels of IgG are reached by the age of 6 months.
B. Children are born with adult levels of IgA.
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,C. IgE leads the bodys attack against bacteria and viruses.
D. IgM is the first type of antibody made in response to
infection.
ANS: D
IgM is the first antibody made in response to an infection.
Adult levels of IgG are reached by 1 year of age. Children
attain an adult level of IgA by 5 years of age. IgE is
important in the response against fungus spores, animal
dander, and pollen.
4. A nurse is providing anticipatory guidance to new
parents. Which instruction by the nurse will assist the
parents in maintaining physical barriers to prevent
infection in their newborn?
A. Breastfeeding provides some antibodies.
B. Ensure your baby is getting enough nutrition.
C. Keep your baby away from people who are sick.
D. Wash your baby with gentle soap and dry well.
ANS: D
All options are sound advice for helping to keep a newborn
well. However, the only option specific to physical barriers
available to protect against infection (skin, mucous
membranes) is to wash the babys skin with gentle soap and
dry it well, helping to keep it intact.
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Moderate
PTS: 1
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, 5. A 4-month old baby was recently hospitalized with
septicemia and now has a severe diaper rash. Which
primary immunodeficiency disorder does the nurse
suspect?
A. Antibody deficiency: B-cell disorder
B. Combined deficiency: T- and B-cell disorder
C. Complement defect disorder
D. Phagocyte defect disorder
ANS: B
Combined deficiency: T- and B-cell disorder usually
manifests before 6 months of age and includes severe
infections such as meningitis and septicemia, diaper
dermatitis, and opportunistic infections. Antibody
deficiencies are usually seen after 6 months of age.
Complement defect disorder is often accompanied by
autoimmune diseases. Phagocyte defect disorders include
impetigo, mouth ulcers, suppurative adenitis, osteomyelitis,
and poor wound healing.
6. A 10-month-old-child is in the pediatric clinic for his
eighth ear infection. Which assessment is most important
for the nurse to perform on this child?
A. Ask the parent about possible allergy testing.
B. Assess the childs mouth for oral thrush.
C. Graph height and weight on the growth chart.
D. Inquire about the health of the entire family.
ANS: C
Children with primary immunodeficiencies can often be
identified using Modells 10 Warning Signs, which include
failure to gain weight or grow properly. The nurse should
assess the childs height and weight and graph it on the
growth chart, comparing it to normal values for the childs
age. Persistent oral or skin thrush is another sign if it
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