Cindy is a thirty-five-year-old volunteer in an inner-city church-sponsored preschool program. The mothers of the neighborhood are encouraged to…

Cindy is a thirty-five-year-old volunteer in an inner-city church-sponsored preschool program. The mothers of the neighborhood are encouraged to bring their children to the program for a “time out.” Most of the children are present on an irregular basis one or two times a week.

            One day, Zach, a 2½ year-old became ill during his stay. A rash of small red spots that were not raised above the skin surface was observed during his changing, and he had a slight fever. His mother was located and encouraged to take him to the local clinic.

            Shortly after this, Cindy confirmed what she had suspected for about a month—a home pregnancy test was positive. At her visit to the obstetrician, Cindy relayed the story of Zach’s illness to the nurse when asked if she had recently been exposed to any illnesses. Cindy had not been overly-concerned about Zach’s rash but had seemed to be mildly ill herself about three weeks after that incident. The obstetrics nurse seemed to be very interested in this exposure and said that they would contact the clinic and see if Zach had visited and been diagnosed. Blood tests were also ordered for Cindy.

1)Which of these is most characteristic of Zach’s symptoms?

Rubeola-Scarlet Fever-Rubella-Chicken pox.

2)How could Zach’s illness have been prevented? Be specific

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