Concerning the classification of neonatal bacterial infection, nurses should be aware that:
1. congenital infection progresses slower than nosocomial infection.
2. nosocomial infection can be prevented by effective handwashing; early onset cannot.
3. infections occur with about the same frequency in boy and girl infants, though female mortality is higher.
4. the clinical sign of rapid high fever makes infection easier to diagnose.
2
1. Incorrect. Congenital (early onset) infections progress more rapidly than nosocomial (late onset) infections.
2. Correct. Handwashing is an effective preventive measure for late-onset (nosocomial) infections because they come from the environment around the infant. Early onset or conge-nital infections are caused by the normal flora at the maternal vaginal tract. Congenital (early onset) infections progress more rapidly than nosocomial (late onset) infections.
3. Incorrect. Infection occurs about twice as often in boys and results in higher mortality. Congenital (early onset) infections progress more rapidly than nosocomial (late onset) infec-tions.
4. Incorrect. Clinical signs of neonatal infection are nonspecific and similar to noninfectious problems, making diagnosis difficult. Congenital (early onset) infections progress more ra-pidly than nosocomial (late onset) infections.
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