During a prenatal examination, the woman reports having two cats ...

[robinn137]

During a prenatal examination, the woman reports having two cats at home. The nurse informs her that she should not be cleaning the litter box while she is pregnant. When the woman asks why, the nurse's best response would be:
 
  a. Your cats could be carrying toxoplasmosis. This is a zoonotic parasite that can infect you and have severe effects on your unborn child.
  b. You and your baby can be exposed to the human immunodeficiency virus (HIV) in your cats' feces.
  c. It's just gross. You should make your husband clean the litter boxes.
  d. Cat feces are known to carry Escherichia coli, which can cause a severe infection in both you and your baby.

Question 2

A mother asks the nurse, When should I begin to clean my baby's teeth? What is the best response for the nurse to make?
 
  a. You can begin when all her baby teeth are in.
  b. You can easily begin now. Just put some toothpaste on a gauze pad to clean the
  teeth.
  c. I don't think you have to worry about that until she can handle a toothbrush.
  d. You can begin as soon as your child has a tooth. The easiest way is to take cotton
  swabs or a face cloth and just wipe the teeth. Toothpaste is not necessary.

[Danny Ewald]

Answer to Question 1

A

Feedback
A Toxoplasmosis is a multisystem disease caused by the protozoal Toxoplasma gondii parasite, commonly found in cats, dogs, pigs, sheep, and cattle. About 30 of women who contract toxoplasmosis during gestation transmit the disease to their offspring. Clinical features ascribed to toxoplasmosis include hy-drocephalus or microcephaly, chorioretinitis, seizures, or cerebral calcifications.
B HIV is not transmitted by cats.
C Although this may be a valid statement, it is not appropriate, does not answer the patient's question, and is not the nurse's best response.
D E. coli is found in normal human fecal flora. It is not transmitted by cats.

Answer to Question 2

D
Feedback
A An infant's teeth need to be cleaned as soon as they erupt. Waiting until all the
baby teeth are in is inappropriate and prolongs cleaning until 2 years of age.
B Because toothpaste contains fluoride and infants will swallow the toothpaste,
parents should avoid its use.
C The infant's teeth need to be cleaned by the parent as soon as they erupt. Even
when a child has the ability to hold a toothbrush, the parent should continue
cleaning the child's teeth.
D An infant's teeth need to be cleaned as soon as they erupt. Cleaning the teeth
with cotton swabs or a face cloth is appropriate.

[robinn137]

Excellent

[Dominic]

TYSM