Author Question: A client has a history of drug use and is screened for hepatitis B during the first trimester. Which ... (Read 29 times)

Kikoku · **on:** Jun 28, 2018

A client has a history of drug use and is screened for hepatitis B during the first trimester. Which action is appropriate?

a. Practice respiratory isolation.
b. Plan for retesting during the third trimester.
c. Discuss the recommendation to bottle feed her baby.
d. Anticipate administering the vaccination for hepatitis B as soon as possible.

Question 2

A client, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

a. Her two children should be treated with acyclovir before she goes home from the hospital.
b. The baby will acquire immunity from her and will not be susceptible to chickenpox.
c. The children can visit their mother and baby in the hospital as planned but must wear gowns and masks.
d. She must make arrangements to stay somewhere other than her home until the children are no longer contagious.

Amiracle · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
A person who has a history of high-risk behaviors should be rescreened during the third trimester. Hepatitis B is transmitted through blood. The first trimester is too early to discuss feeding methods with a woman in the high-risk category. The vaccine may not have time to affect a person with high-risk behaviors.

Answer to Question 2

ANS: D
Varicella (chickenpox) is highly contagious. Although the baby inherits immunity from the mother, it would not be safe to expose either the mother or the baby. Acyclovir is used to treat varicella pneumonia. The baby is already born and has received the immunity. If the mother never had chickenpox, she cannot transmit the immunity to the baby. Varicella infection occurring in a newborn may be life threatening.