Page 1156 - Saunders Comprehensive Review For NCLEX-RN

5. Transmission

a. Airborne or direct contact with
infectious droplets
b. Indirectly via articles freshly
contaminated with nasopharyngeal
secretions, feces, or urine
c. Transplacental
B. Assessment (Fig. 40-4)
1. Low-grade fever
2. Malaise

3. Pinkish red maculopapular rash that begins on

the face and spreads to the entire body within 1 to 3
days
4. Petechiae (red, pinpoint spots) may occur on the soft
palate.

C. Interventions

1. Use airborne, droplet, and contact precautions if the
child is hospitalized; provide supportive treatment.
2. Isolate the infected child from pregnant women.
VII. Mumps
A. Description
1. Agent: Paramyxovirus
2. Incubation period: 14 to 21 days
3. Communicable period: Immediately before and after
parotid gland swelling begins
4. Source: Saliva of infected person and possibly urine
5. Transmission: Direct contact or droplet spread

from an infected person
B. Assessment
1. Fever
2. Headache and malaise
3. Anorexia

4. Jaw or ear pain aggravated by chewing,

followed by parotid glandular swelling
5. Orchitis or oophoritis may occur.
6. Deafness may occur.
7. Aseptic meningitis may occur.
C. Interventions

1. Institute airborne, droplet, and contact

precautions.

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