Author Question: The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis ... (Read 94 times)

nenivikky · **on:** Jun 28, 2018

The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like her oldest son did when he was an infant. The nurse should base her response on which statement?

a. Meningitis rarely occurs during infancy.
b. Often a genetic predisposition to meningitis is found.
c. Vaccination to prevent all types of meningitis is now available.
d. Vaccination to prevent Haemophilus influenzae type B meningitis has decreased the frequency of this disease in children.

Question 2

The nurse is teaching nursing students about childhood nervous system tumors. Which best describes a neuroblastoma?

a. Diagnosis is usually made after metastasis occurs.
b. Early diagnosis is usually possible because of the obvious clinical manifestations.
c. It is the most common brain tumor in young children.
d. It is the most common benign tumor in young children.

princessflame2016 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
H. influenzae type B meningitis has been virtually eradicated in areas of the world where the vaccine is administered routinely. Bacterial meningitis remains a serious illness in children. It is significant because of the residual damage caused by undiagnosed and untreated or inadequately treated cases. The leading causes of neonatal meningitis are the group B streptococci and Escherichia coli organisms. Meningitis is an extension of a variety of bacterial infections. No genetic predisposition exists. Vaccinations are not available for all of the potential causative organisms.

Answer to Question 2

ANS: A
Neuroblastoma is a silent tumor with few symptoms. In more than 70 of cases, diagnosis is made after metastasis occurs, with the first signs caused by involvement in the nonprimary site. In only 30 of cases is diagnosis made before metastasis. Neuroblastomas are the most common malignant extracranial solid tumors in children. The majority of tumors develop in the adrenal glands or the retroperitoneal sympathetic chain. They are not benign but metastasize.