A baby is born temporarily immune to the diseases to which the mother is immune. The nurse understands that this is an example of which of the following types of immunity?

Correct Answer: A

Rationale: In the scenario described, the baby is born with temporary immunity to diseases that the mother is immune to. This is an example of naturally acquired passive immunity, where the baby receives preformed antibodies from the mother, providing immediate protection against certain diseases. This type of immunity is passive because the baby did not produce the antibodies themselves, and it is naturally acquired as it occurs through the transfer of antibodies from the mother to the baby during pregnancy.

Correct Answer: C

Rationale: For the treatment of herpes simplex virus (type 1 or 2) in a 7-year-old child, the nurse should expect the prescribed medication to include an oral antiviral agent. Antiviral medications such as acyclovir, valacyclovir, or famciclovir are commonly used to manage herpes simplex virus infections. These medications help to reduce the severity and duration of symptoms, promote healing of lesions, and prevent future outbreaks. Corticosteroids are not typically used in the treatment of herpes simplex virus infections. Oral griseofulvin is an antifungal medication used to treat fungal infections, not viral infections like herpes simplex virus. Topical and/or systemic antibiotics are used to treat bacterial infections and are not effective against viruses like herpes simplex.

Correct Answer: A

Rationale: Weight increment slows after infancy, making 7-8 kg/year incorrect.

Correct Answer: C

Rationale: Positioning the child on his right side after surgery for pyloric stenosis helps to promote the flow of formula through the pylorus and into the intestines. Placing the child in this position can aid in preventing any potential complications from the surgery and promote proper digestion. The right side position assists in the drainage of the stomach contents, thereby reducing the risk of complications related to the surgery and promoting the healing process. It is essential to follow this positioning recommendation as part of the post-operative care for a child who has undergone surgery for pyloric stenosis.

Correct Answer: B

Rationale: Monitoring for swelling and heaviness of legs is a nursing intervention that can help prevent falls. Swelling and heaviness of legs could indicate conditions such as edema or circulation problems, which may increase the risk of falls due to impaired mobility and stability. By identifying these signs early on, the nurse can intervene promptly to address the underlying issues and prevent potential falls. This proactive approach aligns with the goal of ensuring the client is free from injury caused by falls. Monitoring for chest pain and elevated low-density lipoprotein levels, postural changes in BP, or mild fever may be important for overall client care but are not directly related to fall prevention.