Maternal / Newborn Question #38


The clinic nurse reviews laboratory values for a 15-year-old adolescent, which confirms Epstein-Barr virus. Which instructions will the nurse provide the client and parents?


  1. Oral care with mouthwash will be important.
    • Rationale:
  2. Take tepid baths four times per day.
    • Rationale:
  3. Family must use personal protective equipment.
    • Rationale:
  4. The teen should take a break from contact sports.
    • Rationale:



The correct answer is D. Epstein-Barr virus is communicable during the illness phase (7-10 days). During the initial illness, the spleen may enlarge, causing risks of rupture if the client is engaged in physical contact sports. While oral care is important, it is not as critical as avoiding contact sports. Temperature elevations may require tepid baths; however, four times per day may be excessive or unnecessary. Family does not need to use PPE, but needs to maintain good hand-washing and avoiding sharing food, utensils, toothbrushes, etc.

Learning Outcomes

Test Taking Tip

Video Rationale