DSSSB - 29 August 2019 (Shift-2)
Obstetrics and Midwifery Nursing
Easy

The immunoglobulin present in colostrum is?

Appeared in: DSSSB - 29 August 2019 (Shift-2)

Explanation

  • IgA is the predominant antibody found in colostrum, the initial milk secreted after birth.
  • It is present as secretory IgA (sIgA), which is specially equipped to survive in the digestive tract.
  • sIgA provides local or mucosal immunity by coating the infant's gastrointestinal and respiratory tracts.
  • This coating prevents pathogens from attaching to and invading the mucosal surfaces, thus protecting the newborn from infections.

Why Other Options Were Wrong

  • Option A: IgM is the first antibody produced during a primary immune response and is primarily found in the bloodstream. It is too large to be secreted in high quantities into colostrum.
  • Option B: IgG is the primary antibody transferred across the placenta, providing systemic passive immunity, not the main one transferred via colostrum.
  • Option C: IgD is present in very low concentrations and primarily functions as a receptor on the surface of B lymphocytes. It is not a major secretory antibody.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Immunoglobulins in colostrum and passive neonatal immunity as background academic context rather than a clinical decision trigger.
  • Nurses play a vital role in educating new mothers about the benefits of colostrum, often called 'liquid gold', for their baby's health.
  • Promoting early initiation of breastfeeding (within the first hour of birth) ensures the newborn receives the maximum immunological benefit from colostrum.
  • What if? If a mother is unable to breastfeed, the nurse should provide education on safe formula feeding. While formula does not contain maternal antibodies, it is a safe and nutritious alternative. The nurse should also assess for maternal guilt or anxiety and provide emotional support.
How to Approach the Question
  • First, identify the keywords in the question: 'immunoglobulin' and 'colostrum'.
  • The question asks for the specific antibody present in colostrum.
  • Recall the different types of immunoglobulins and their primary functions and locations.
  • Differentiate between the two types of passive immunity transferred from mother to child: placental and through breast milk.
  • Associate IgG with placental transfer (systemic immunity).
  • Associate IgA with breast milk/colostrum (mucosal immunity).
Concept Tested & Keywords
  • Concept Tested: Immunoglobulins in colostrum and passive neonatal immunity.
  • Stem keywords: immunoglobulin, colostrum
  • Lead-in keywords: present in

Question ID

QO1kXbiIyCia_ZunnZxPNC

Reference Book

E6 Biochemistry U Satyanarayana— Part 2 (pp 421-820 of 840) pp. 349-351, 348-350

E6 Microbiology Essentials Sastry 4e Part 1 p. 149-151

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