A 4-month old baby was recently hospitalized with septicemia and ...

[rl]

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

Question 2

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.

[rnehls]

Answer to Question 1

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.

Answer to Question 2

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 baby's skin with gentle soap and dry it well, helping to keep it intact.

[rl]

TYSM

[shailee]

Excellent