ch 22-2

Question 1

chicken pox-incubation, contagious

Answer 1

1. incubation 14-21 days

2. contagious 1-2 days before rash until lesions crusted over

Question 2

erythema infectiosum (fifth disease)-incubation, contagious

Answer 2

1. incubation 4-21 days
2. contagious before rash appears
3. keep out of direct sun

Question 3

Hib- contagious

Answer 3

contagious 3 days from onset of symptoms

Question 4

measles (rubeola)-incubation, contagious

Answer 4

1. incubation 7-14 days

2. contagious 2-4 days before rash until fever gone

Question 5

meningococcus-incubation, contagious

Answer 5

1. incubation 2-10 days
2. contagious until 24 hrs of treatment w abx
3. watch for shock, avoid overloading

Question 6

mumps-incubation, contagious

Answer 6

1. incubation 12-25 days

2. contagious 1-2 days before parotid swelling until 9 days after swelling subsides

Question 7

pertussis-incubation, contagious

Answer 7

1. incubation 7-10 days
2. contagious before paroxysmal cough stage and 5 days after abx tx
3. watch O2 sats especially during cough

Question 8

poliomyelitis-incubation, contagious

Answer 8

1. incubation 7-10 days
2. contagious highest before and right after clinical s/s, excreted in feces for 3-6 wks
3. watch for resp paralysis

Question 9

rotavirus-incubation, contagious

Answer 9

1. incubation 1-3 days

2. contagious in stool of immunocompromised kids up to 30 days

Question 10

rubella-incubation, contagious

Answer 10

• incubation 14-21 days

- contagious several days before rash to 2 wks after rash, congenital can shed virus up to a year

Question 11

call dr immediately about fever-2,7

Answer 11

1. under 2 mo 100.4+
2. over 2 mo w 104.2 plus inconsolable, difficult to wake, stiff neck, purple spots, breathing difficulties, can’t swallow, convulsion

Question 12

s/s sepsis infants-5

Answer 12

1. feeding problems
2. subtle change in color, tone, and activity
3. abdo distention
4. v/d
5. hypothermia

Question 13

precautions/transmission rubella

Answer 13

1. transmission- droplet

- standard and droplet precautions

Question 14

precautions/transmission rotavirus

Answer 14

1. transmission via oral fecal route and possibly respiratory
2. standard and contact precautions

Question 15

precautions/transmission poliomyelitis

Answer 15

1. transmission via oral fecal route, but respiratory as well
2. standard and contact precautions

Question 16

precautions/transmission pertussis

Answer 16

1. transmission inhalation or direct contact w respiratory droplets
2. droplet precautions

Question 17

precautions/transmission mumps

Answer 17

1. transmission w respiratory secretions

2. standard and droplet precautions

Question 18

precautions/transmission meningococcus

Answer 18

1. transmission by inhalation or respiratory droplets from human carriers
2. standard and droplet precautions

Question 19

precautions/transmission measles (rubeola

Answer 19

1. transmission direct contact w respiratory droplets and airborne spread
2. airborne precautions, careful suction

Question 20

precautions/transmission Hib

Answer 20

1. transmission direct contact w respiratory secretions or droplet inhalation
2. droplet precautions

Question 21

precautions/transmission erythema infectiosum (fifth disease)

Answer 21

1. transmission respiratory secretions and blood

2. standard and droplet precautions

Question 22

precautions/transmission chicken pox

Answer 22

1. transmission direct contact w airborne

2. airborn and contact precautions, child in isolation