The nurse is teaching a prenatal class about infant care. The nurse emphasizes that parents should call their healthcare provider immediately if their infant (Select all that apply.)
1. is 4 months old,received a DTaPimmunization yesterday,and has a temperature of 38.0 degrees C (100.4 degrees F).
2. is under 3 months old and has atemperature over 40.1 degrees C (104.2 degrees F).
3. is difficult to awaken and has apulsing fontanel.
4. has purple spots on the skin and islethargic.
5. has a stiff neck and has been irritablefor three days.
Answer:2,3,4,5
Rationale:Infants under 3 months of age have limited ability to develop antibodies to fight infection,and a fever as high as 40.1 degrees C indicates a serious infection. All of these signs in infants and children of any age may indicate meningitis. A mild fever of 38.0 degrees C (100.4 degrees F) in the 4-month-old who received a DTaP immunization yesterday is incorrect because the mild fever is expected as the body develops antibodies in response to antigens in the immunization.
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