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.
You might also like to view...
Cancers that occur in epithelial tissue such as skin are called:
a. carcinoma c. lymphoma b. leukemia d. sarcoma
The nurse assesses a patient for signs of meningeal irritation and observes for nuchal rigidity. What indicates the presence of this sign of meningeal irritation?
A. Tonic spasms of the legs B. Curling in a fetal position C. Arching of the neck and back D. Resistance to flexion of the neck
An acquaintance tells a nurse she suspects a relative might be a victim of elder abuse by a family member. The nurse advises the acquaintance to
A) call the relative's pastor and ask what members of the parish have observed. B) plan to visit the relative frequently during a 2-week period and then confront the family with her suspicions. C) complete a confidential report with the adult protective services in the area. D) ask the relative if she is being abused.
Mrs. Owens has come to the clinic to see the nurse practitioner about her persistent cough. Recently, she was laid off from her job at the retail store and lost all benefits. She has had a fever and chills for several days
As the nurse begins the assessment, Mrs. Owens begins to cry and says: "I have no money to pay for medicine or this visit. Please do not order an antibiotic, because I cannot pay for it." The nurse's best response would be which of the following? 1. "I understand your concerns, Mrs. Owens. I have free medicine from donors to give you." 2. "I understand your concerns Mrs. Owens. It looks like you will qualify for Medicaid benefits." 3. "Don't worry Mrs. Owens, I won't prescribe an antibiotic." 4. "Mrs. Owens, perhaps you can be seen in the emergency department. They can give you free antibiotics."