An immigrant child is in the clinic for MMR vaccination
The nurse learns that the child has recently received an immune globulin injection for a viral infection, currently has an upper respiratory infection with a temperature of 100° F, and has a recent history of thrombocytopenia, which has resolved. What does the nurse tell the child's parents?
a. "The vaccine is contraindicated in this child because of the history of thrombocytopenia."
b. "The child should be brought back for the vaccine when the temperature is back to normal."
c. "The child is at increased risk of developing autism from this vaccine."
d. "The vaccine must be postponed for 3 months after administration of the immune globulin."
ANS: D
The MMR vaccine should be postponed in children who have received immunoglobulins, because the immunoglobulin contains antibodies against the viruses in the vaccine. Thrombocytopenia is not a contraindication to the MMR vaccine. A low-grade temperature is not a contraindication. There is no link between receiving the MMR vaccine and the development of autism.
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