Chapter 25: Caring for the Child With an Immunological or Infectious Condition

Chapter 25: Caring for the Child With an Immunological or Infectious Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nursing faculty member is explaining the pediatric immune system to students. Which statement is correct?

A.	Children are born with intact immune systems.
B.	Children’s immune systems develop over 1 year.
C.	Immunity isn’t functional until about 6 months.
D.	Mothers’ immunity is babies’ primary line of defense.

 

 

ANS:  A

Children are born with an intact immune system. There immune system, however, is immature. Infants do retain some immunity from their mothers from birth until about 6 months. The other statements are incorrect.

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Teaching/Learning

Difficulty: Easy

 

PTS:   1

 

2. A child is receiving vaccinations at a well-baby clinic. The nurse explains to the mother that the vaccinations provide which type of immunity?

A.	Active
B.	Innate
C.	Man-made
D.	Passive

 

 

ANS:  A

Vaccinations provide one type of active immunity. Passive immunity is brought about through immunoglobulins, either passed via the mother or given to the child through another means. Innate protection is provided by physical barriers, such as the skin or mucous membranes. Man-made immunity is not a classification of immunity.

 

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Teaching/Learning

Difficulty: Easy

 

PTS:   1

 

3. A nursing student is learning about the immune system. Which statement about immunoglobulins is correct?

A.	Adult levels of IgG are reached by the age of 6 months.
B.	Children are born with adult levels of IgA.
C.	IgE leads the body’s attack against bacteria and viruses.
D.	IgM is the first type of antibody made in response to infection.

 

 

ANS:  D

IgM is the first antibody made in response to an infection. Adult levels of IgG are reached by 1 year of age. Children attain an adult level of IgA by 5 years of age. IgE is important in the response against fungus spores, animal dander, and pollen.

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Teaching/Learning

Difficulty: Easy

 

PTS:   1

 

4. A nurse is providing anticipatory guidance to new parents. Which instruction by the nurse will assist the parents in maintaining physical barriers to prevent infection in their newborn?

A.	Breastfeeding provides some antibodies.
B.	Ensure your baby is getting enough nutrition.
C.	Keep your baby away from people who are sick.
D.	Wash your baby with gentle soap and dry well.

 

 

ANS:  D

All options are sound advice for helping to keep a newborn well. However, the only option specific to physical barriers available to protect against infection (skin, mucous membranes) is to wash the baby’s skin with gentle soap and dry it well, helping to keep it intact.

 

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Moderate

 

PTS:   1

 

5. A 4-month old baby was recently hospitalized with septicemia and now has a severe diaper rash. Which primary immunodeficiency disorder does the nurse suspect?

A.	Antibody deficiency: B-cell disorder
B.	Combined deficiency: T- and B-cell disorder
C.	Complement defect disorder
D.	Phagocyte defect disorder

 

 

ANS:  B

Combined deficiency: T- and B-cell disorder usually manifests before 6 months of age and includes severe infections such as meningitis and septicemia, diaper dermatitis, and opportunistic infections. Antibody deficiencies are usually seen after 6 months of age. Complement defect disorder is often accompanied by autoimmune diseases. Phagocyte defect disorders include impetigo, mouth ulcers, suppurative adenitis, osteomyelitis, and poor wound healing.

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Nursing Process: Assessment

Difficulty: Moderate

 

PTS:   1