This document discusses rubella (German measles). It provides information on: - Rubella is caused by the rubivirus and affects both sexes equally, usually occurring in children aged 5-9. - The virus enters through the respiratory tract and spreads to lymph nodes, causing a rash after 7-9 days. - Infection confers lifelong immunity. Contracting rubella while pregnant can cause congenital rubella syndrome in the baby. - Treatment focuses on rest, symptoms, isolation during infection period, and vaccination to prevent spread.

2. MR. SAMBAD JAGDISH.G
IKDRC COLLEGE OF NURSING
M.Sc. Nursing.

11.  Age: occurs in children and young adults, peak in 5
to 9 year but can occur at any age.
 Sex: Both sex are equally affected
 Immunity: one attack confers life long immunity.

12.  Poor environment is predisposing factor.

15.  Occurs in neonate and
childhood
 Adult infection occurs through
mucosa of the upper
respiratory tract spread to
cervical lymphnodes
 Viremia develops after 7-9 day
 Last for 13-15 days leads to
development of antibodies
 The appearance of antibodies
coincides the appearance of
suggestive immunologic basis
for the rash

17. Image in a 4-year-old girl with a 4-day history of low-grade fever,
symptoms of an upper respiratory tract infection, and rash.
.

25. Salt and pepper retinopathy
http://www.kellogg.umich.edu/theeyeshave
it/congenital/retinopathy.html

31.  1 .General therapy: rest, nursing and diet
 2. Symptomatic therapy: fever and cough,
 3.Support threapy:r-globulin traditional
Chinese herbs may be used ;
 How ever, doctors often recommend
isolation from others — especially pregnant
women — during the infectious period.

32.  If you contract rubella while you're pregnant,
discuss the risks to your baby with your doctor. If
you wish to continue your pregnancy, you may be
given antibodies called hyperimmune globulin that
can fight off the infection.
 This can reduce your symptoms but doesn't
eliminate the possibility of your baby developing
congenital rubella syndrome.

33.  Support of an infant born with congenital
rubella syndrome varies depending on the
extent of the infant's problems.

34. 1. Isolation of the patient .
2. strict avoidance of close contact with the patient.
3. passive immunization with human norms
Immuno-globulin.
4. Rubella vaccination –live attenuated RA27/3 for
all children and women of child caring age.
5. Vaccination to girls 11-14 years, duration of
immunity offered being 10 years.
6. other precautionary measures are needed as
applied to airborne infection

36. •As a caregiver
•As an educator
•As an advocator
•As a researcher

37. 1.Which virus is responsible for produce German
measles ?
A) Rotavirus c) retrovirus
B) Rubivirus d) myxovirus
2.Which are the correct clinical findings of rubella ?
A) Arthritis B) hyperthermia
C) Purpura D) meningeoencephalitis

38. 3. communicability period of rubella is…….
A) 3 to4 week B) 2 to 3 week
C) 5 to 6 week D) 7 to 8week
4.How much the diameter of RNA virus in rubella ?
A) 60-70 nm B)50-70 nm
C) 80-90nm D)90- 96 nm

39. 5.Which speciality person documented the
rubella virus?
A) Psychiatric B) Ophthalmologist
C) Neurologist D) Cardiologist