A nurse is teaching a newly licensed practical nurse (LPN) about the transmission of hepatitis B. Which of the following statements made by the LPN indicates a need for further education?

Hepatitis B is a viral infection transmitted via blood and body fluids causing chronic liver disease, hepatocellular carcinoma, perinatal transmission, and occupational exposure risk through infected sharps sexual contact percutaneous routes Rationale: A. Hepatitis B is transmitted from infected mother to newborn during perinatal exposure at delivery. Vertical transmission occurs through blood contact. This statement is correct. It reflects high risk neonatal infection without immunoprophylaxis and vaccine administration within 12 hours birth period. B. Needle stick exposure is a well-established route of transmission for hepatitis B due to percutaneous inoculation of infected blood. Percutaneous exposure introduces virus directly into bloodstream. This is a recognized occupational hazard in healthcare settings requiring strict precautions use PPE. C. Unprotected sexual contact and intravenous drug use are major risk factors for hepatitis B transmission through exchange of infected bodily fluids. Sexual transmission is highly efficient. This statement correctly identifies behavioral routes contributing to global hepatitis B spread patterns present. D. Hepatitis B is not transmitted through contaminated food or water; this is characteristic of fecal oral viruses such as hepatitis A. Fecal oral transmission does not apply to hepatitis B which spreads via blood and body fluids not applicable clinically