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Author Question: The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center ... (Read 160 times)

deesands

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The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine.
 
  The mother, who is pregnant, tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is not that serious in older children. What information will the nurse include when discussing this with the mother?
  a. If she gets the vaccine, both she and her 4 year-old child will be protected.
  b. If the 4-year-old child contracts pertussis, it can be passed on to her newborn.
  c. The vaccine will not be given to her child while she is pregnant.
  d. Vaccinating the 4-year-old will provide passive immunity for her unborn child.

Question 2

A woman who is pregnant tells the nurse she has not had any vaccines but wants to begin so she can protect her unborn child. Which vaccine(s) may be administered to this patient?
 
  a. Gardasil vaccine
  b. Trivalent influenza vaccine
  c. MMR vaccine
  d. Varivax vaccine



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ebe

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Answer to Question 1

ANS: B
Even though pertussis is not as serious in older children, it is important to vaccinate children to prevent the spread of the disease to infants and others who are not immunized and who are at risk for significant morbidity and mortality from this disease. Vaccinating the mother will not protect the 4-year-old from getting pertussis. The DTaP vaccine may be given to children whose mothers are pregnant. Vaccinating the child does not confer passive immunity to the unborn child.

Answer to Question 2

ANS: B
The influenza vaccine is recommended for pregnant women and should be given. Gardasil is given to young women who are not yet sexually active. The MMR is contraindicated because rubella can cause serious teratogenic effects. Varivax is contraindicated during pregnancy.



deesands

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Both answers were spot on, thank you once again



ebe

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