A mother is hepatitis B surface antigen positive after giving birth. Which plan is appropriate for her healthy newborn?
Correct answer: A. Give hepatitis B vaccine and immunoglobulin promptly, then support breastfeeding
- A. Give hepatitis B vaccine and immunoglobulin promptly, then support breastfeeding
- B. Avoid breastfeeding until the mother completes antiviral treatment
- C. Give oral antibiotics to the newborn before starting breastfeeding
- D. Delay all newborn vaccines until the mother has a negative test
Explanation
A newborn exposed to hepatitis B should receive hepatitis B vaccine and hepatitis B immunoglobulin promptly according to local protocol. Breastfeeding is not contraindicated when appropriate newborn immunoprophylaxis is provided.
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About Postnatal Care and Breastfeeding
Maternal postnatal care assesses uterine involution, lochia, perineal healing, bladder and bowel function, vital signs, emotional wellbeing and signs of puerperal infection or haemorrhage. Breastfeeding covers colostrum, milk production, positioning and attachment, feeding frequency, common difficulties and the distinction between normal breast changes and mastitis.
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