A nurse is attending to an antepartum client whose lab results show a negative rubella titer.
What is the correct interpretation of this data?

The client is immune to the rubella virus.

The client needs a rubella vaccination immediately.

The client should receive a rubella immunization post-delivery.

The client is not currently infected with the rubella virus.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A negative rubella titer indicates that the client does not have immunity to the rubella virus. Therefore, the statement that the client is immune to the rubella virus is incorrect.

Choice B rationale

While it is true that a person with a negative rubella titer needs a rubella vaccination, it is not recommended to administer the vaccine immediately during pregnancy due to the potential risks to the fetus. Therefore, this statement is not correct in this context.

Choice C rationale

The correct interpretation of a negative rubella titer in an antepartum client is that the client should receive a rubella immunization post-delivery. This is because rubella can cause serious complications if contracted during pregnancy, including congenital rubella syndrome in the newborn. Vaccination post-delivery will protect the client in future pregnancies.

Choice D rationale

A negative rubella titer does not provide information about whether the client is currently infected with the rubella virus. It only indicates that the client does not have immunity to the virus. Therefore, this statement is not a correct interpretation of the data.

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Correct Answer is A

Explanation

Choice A rationale

The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.

Choice B rationale

It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.

Choice C rationale

Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.

Choice D rationale

Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.

A. Gradual lordosis. B. Decreased mobility of pelvic joints. C. Increased abdominal muscle tone. D. Posterior neck flexion.

Correct Answer is A

Explanation

Choice A rationale

Gradual lordosis, or the inward curvature of the spine, is a common physiological change during pregnancy. As the baby grows and the woman’s center of gravity shifts, the spine adjusts to maintain balance.

Choice B rationale

Decreased mobility of pelvic joints is not a typical physiological change during pregnancy. In fact, the body releases the hormone relaxin during pregnancy, which allows the ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process.

Choice C rationale

Increased abdominal muscle tone is not a typical physiological change during pregnancy. In fact, as the baby grows, the abdominal muscles stretch and can even separate, a condition known as diastasis recti.

Choice D rationale

Posterior neck flexion is not a typical physiological change during pregnancy.

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A nurse is attending to an antepartum client whose lab results show a negative rubella titer.What is the correct interpretation of this data?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.Which statement by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is evaluating a patient in her third trimester of pregnancy.Which findings should the nurse recognize as expected physiological changes during pregnancy?

Correct Answer is A

Explanation

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A nurse is attending to an antepartum client whose lab results show a negative rubella titer.
What is the correct interpretation of this data?