The PNP is working in urgent care and a mom brings her 8-mon…
The PNP is working in urgent care and a mom brings her 8-month-old to the clinic for hives. The baby was exclusively breastfed for 6 months, and now her diet includes stage 1 and 2 infant fruits and vegetables. Mom tried yogurt for the first time this week. Mom thought she noticed a few hives on her cheek the first time they tried, so they stopped. She had emesis one time and some loose stools. The hives resolved on their own. Mom tried again this morning, and the child has several hives on her cheeks and forehead. She is otherwise well, with no fever or signs of illness. She has no mucosal lesions. She has no wheezing or lip swelling, and other than hives, she appears happy and well. Her vital signs are stable. The PNP identifies this as Type [answer1] hypersensitivity and realizes it is mediated by [answer2]. The PNP realizes blocking [answer3], which is released by mast cells during the allergic reaction, can be used to treat mild cases. She also advises mom to avoid the suspected allergen.
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