NURSING 201 Focus on Child Health_NURS 201 Child Health Assessment.

⦁ 1.ID: 5 ⦁ An HIV-positive woman delivers an infant. The pediatrician prescribes testing for the newborn, and the nurse prepares for which action? ⦁ Ask the laboratory to perform virologic testing Correct ⦁ Obtain blood from the umbilical cord to send to the laboratory ⦁ Perform a heelstick to obtain a specimen for a Western blot assay ⦁ Perform a fingerstick to obtain a specimen for an enzyme-linked immunosorbent assay (ELISA) ⦁ Rationale: Traditional HIV antibody measurement by ELISA or Western-blot assay is not accurate in infants younger than 18 months because of the persistence of maternal antibodies. Because of the potential for maternal contamination during delivery, umbilical cord blood should not be used for testing. HIV-exposed infants should undergo virologic testing within 48 hours of birth and follow-up testing, depending on the initial results. ⦁ Test-Taking Strategy: Focus on the subject, a newborn infant exposed to HIV. Recalling that the ELISA and Western blot assay are not accurate in an infant younger than 18 months will assist you in eliminating these options. Next eliminate the option involving cord blood, knowing that such blood could be contaminated. Review the tests to detect HIV in a newborn infant. ⦁ Level of Cognitive Ability: Applying ⦁ Client Needs: Physiological Integrity ⦁ Integrated Process: Nursing Process/Implementation ⦁ Content Area: Child Health—Infectious Diseases ⦁ Giddens Concepts:Immunity, Infection ⦁ HESI Concepts: Immunity, Infection ⦁ References: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013). Maternal-child nursing (4th ed., p. 1046). St. Louis: Elsevier. ⦁ Pagana, K., & Pagana, T. (2013). Mosby’s diagnostic and laboratory tests reference (11th ed., p. 531). St. Louis: Mosby. ⦁ Awarded 1.0 points out of 1.0 possible points. ⦁ 2.ID: 1 ⦁ A nurse providing home care instructions to a mother of a HIV-positive child discusses measures to prevent transmission of the virus. Which statement by the mother indicates a need for further instruction? ⦁ “I won’t let my children share toothbrushes.” ⦁ “I’ll wash up blood spills with soap and hot water and allow them to air dry.” Correct ⦁ “I’ll wash my hands with soap and water if I touch any blood from my child.” ⦁ “I’ll rinse bloodstained clothing with hydrogen peroxide and then wash it as usual.”