During the initial examination of the full-term baby, the nurse notes an irregular red reflex. The nurse reports the finding to the provider and reviews the mother’s chart for which information?

History of rubella infection. A first trimester rubella infection can cause congenital cataracts in the fetus; therefore, the nurse assesses the maternal chart for mention of a rubella infection during the pregnancy. A positive rubella titer indicates immunity (either through infection or vaccination) but would not cause congenital cataracts. Congenital cataracts are not associated with measles.

During the initial examination of the full-term baby, the nurse n...

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Health Promotion and Maintenance
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Category: Health Promotion and Maintenance
Difficulty: 9

Topics: Growth & Development HEENT Neonatal Care Immunity Infection Inflammation

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