A nurse is caring for a client in the second prenatal visit, the laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?
The client is immune to the rubella virus.
Administer the first dose of rubella vaccine at this time.
The client is not experiencing a rubella infection at this time
The client requires a rubella immunization in post-partum
The Correct Answer is D
a. A negative rubella titer indicates that the client is not immune to rubella.
b. Rubella vaccine is contraindicated during pregnancy.
c. A negative rubella titer does not indicate whether the client is currently experiencing a rubella infection.
d. A negative rubella titer means that the client does not have antibodies against the rubella virus, which can cause congenital defects in the fetus if the mother gets infected during pregnancy. Therefore, the client should receive the rubella vaccine after delivery, when it is safe to do so.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. An abnormal odor of the amniotic fluid, such as a foul or fishy smell, may indicate infection and is a concern with ruptured membranes and an elevated temperature.
b. This may be necessary if the client has an infection or other complications, but it is not the first action to take.
c. This is not an appropriate action when the client has an elevated temperature and ruptured membranes.
d. Glucocorticoids may be administered to promote fetal lung maturity in preterm labor, but they are not appropriate in this situation.
Correct Answer is D
Explanation
a. This is a component of a biophysical profile.
b. This is a component of a biophysical profile.
c. This is a component of a biophysical profile.
d. This is not typically assessed as part of a biophysical profile.
e. This is a component of a biophysical profile.

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