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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