A nurse is counseling a mother about the immunologic properties ...

[ENagel]

A nurse is counseling a mother about the immunologic properties of breast milk. The nurse integrates knowledge of immunoglobulins, emphasizing that breast milk is a major source of which immunoglobulin?
 
  A) IgA
  B) IgG
  C) IgM
  D) IgE

Question 2

The nurse instructs a pregnant patient with sickle-cell anemia on ways to prevent a crisis. Which patient statement indicates that teaching has been effective?
 
  A) I should drink eight glasses of water every day..
  B) I should take an iron supplement every day..
  C) I should make sure I stand for at least 4 hours every day..
  D) I should avoid sitting with my legs elevated during the day..

[babybsemail]

Answer to Question 1

A
Feedback:
A major source of IgA is human breast milk. IgG, found in serum and interstitial fluid, crosses the placenta beginning at approximately 20 to 22 weeks' gestation. IgM is found in blood and lymph fluid and levels are generally low at birth unless there is a congenital intrauterine infection. IgE is not found in breast milk and does not play a major role in defense in the newborn.

Answer to Question 2

A
Feedback:
The fluid status of a pregnant patient with sickle-cell anemia is important because dehydration can precipitate a crisis. The patient should drink at least eight glasses of fluid each day to prevent dehydration. Patients with sickle-cell anemia should not take an iron supplement because the sickled cells cannot incorporate iron in the same way as nonsickled cells. Standing for long periods of time can cause red cell destruction in the patient with sickle-cell anemia. The patient should sit with the legs elevated to encourage venous return of blood from the lower extremities.

[ENagel]

Excellent

[mammy1697]

TYSM