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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.
Choice B rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.
Choice C rationale
The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.
Choice D rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: Inserting an IV catheter is important for potential fluid and medication administration, but it is not the immediate priority action.
Choice B rationale: Administering glucocorticoids is important for fetal lung maturity in case of preterm birth, but it is not the immediate priority upon admission.
Choice C rationale: Applying an external fetal monitor is the priority action. It allows for continuous monitoring of the fetal heart rate and uterine activity to assess the well-being of the fetus and detect any signs of distress.
Choice D rationale: Monitoring vaginal bleeding is important for managing placenta previa, but it is not the immediate priority. Continuous fetal monitoring takes precedence to ensure fetal safety.
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