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 res-piratory 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 thrombo-cytopenia."
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 develop-ing autism from this vaccine."
d. "The vaccine must be postponed for 3 months after administration of the immune globulin."
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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