Author Question: An elementary school teacher who is 16 weeks pregnant has been exposed to rubella. The nurse ... (Read 36 times)

Jramos095 · **on:** Jul 23, 2018

An elementary school teacher who is 16 weeks pregnant has been exposed to rubella. The nurse formulates advice to this client based on the knowledge that infection carries the greatest risk in the first _____ weeks of pregnancy.

Fill in the blank with the appropriate word.

Question 2

A nurse is working with an outreach group to educate the public regarding influenza immunization. Which groups should this nurse target?

Standard Text: Select all that apply.
1. Residents of long-term care
2. Health care providers
3. Healthy young males
4. Women who will be pregnant during influenza season
5. Children with asthma

scottmt · **Reply #1 on:** Jul 23, 2018

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.