Answer to Question 1
Correct Answer: 12
Rationale: The greatest risk to the infant is within the first 12 weeks of pregnancy.
Global Rationale: The major concerns with rubella are the consequences of maternal infection during pregnancy. Infection occurring during the first 12 weeks of pregnancy carries the greatest risk of fetal defects. Rubella infection rapidly spreads to all fetal organ systems and may cause a wide variety of consequences. The most frequently described are congenital cataracts and blindness from retinal destruction, heart disease, and deafness in infants.
Answer to Question 2
Correct Answer: 1,2,4,5
Rationale 1: Residents of long-term care or nursing homes should receive an influenza immunization.
Rationale 2: Health care providers should be immunized both for their own protection and for the protection of those for whom they care.
Rationale 3: Healthy young males are in a low risk category.
Rationale 4: Women who will be pregnant during influenza season should be immunized.
Rationale 5: Children with chronic conditions such as asthma should be immunized.
Global Rationale: Annual influenza vaccination is recommended for the following groups: everyone over age 50, residents of nursing homes or long-term care facilities; adults and children who have chronic conditions such as asthma, diabetes, or heart disease; anyone whose immune system is compromised due to HIV or AIDS, high-dose corticosteroid therapy, or cancer chemotherapy; women who will be pregnant during the influenza season; health care providers; and healthy household contacts (including children) and caregivers of persons at high risk of acquiring influenza.
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Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
fetus 12 weeks
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Nurse using a stethoscope
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