An Immigrant Child Is in the Clinic for MMR Vaccination

question 3

Multiple Choice

An immigrant child is in the clinic for MMR vaccination. The nurse learns that the child has recently received an immune globulin injection for a viral infection, currently has an upper respiratory infection with a temperature of 100°F, and has a recent history of thrombocytopenia, which has resolved. What does the nurse tell the child's parents?

• A) "The vaccine is contraindicated in this child because of the history of thrombocytopenia."
• B) "The child should be brought back for the vaccine when the temperature is back to normal."
• C) "The child is at increased risk of developing autism from this vaccine."
• D) "The vaccine must be postponed for 3 months after administration of the immune globulin."

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Definitions:

Superego

A component of Sigmund Freud's psychoanalytic theory, representing the moral conscience and the internalization of societal standards and parents' rules.

Copulatory Stage

The phase in sexual reproduction that involves the physical act of copulation or intercourse.

Psychosexual Development

A theory proposed by Freud that children go through a series of stages in which they confront conflicts between biological drives and social expectations, with successful navigation resulting in a healthy personality.

Reaction Formation

A mechanism of defense in which a forbidden impulse is turned into its opposite.