A new mother expresses concern about immunizing her infant saying, "I am breastfeeding, so I know that will pass my immunity to my baby. I don't see why anything else is necessary." How should the nurse respond?
1. "You are correct that your baby will receive some passive immunity from you."
2. "That immunity is called adapted immunity and it only lasts for a few days."
3. "There are some diseases for which immunity is not passed from mother to child."
4. "Your baby will need the extra protection provided by standard immunizations."
5. "Vaccines are not indicated until you stop breastfeeding."
Correct Answer: 1,3,4
Rationale 1: The mother is correct that passive immunity to some diseases is provided through the placenta and through breast milk.
Rationale 2: This is called passive immunity and it lasts longer than a few days.
Rationale 3: The passive immunity passed from mother to child does not protect the child from all the diseases that acquired immunity does.
Rationale 4: In order to be protected from many diseases the child will need acquired immunity from vaccine.
Rationale 5: The vaccine schedule for a breastfed infant is the same as for an infant who is not breastfed.
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