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.
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Related Questions
Correct Answer is B
Explanation
a. This is not the purpose of maternal serum alpha-fetoprotein testing.
b. Maternal serum alpha-fetoprotein testing is used to screen for neural tube defects and other spinal defects in the fetus.
c. This is not the purpose of maternal serum alpha-fetoprotein testing.
d. This is not the purpose of maternal serum alpha-fetoprotein testing.
Correct Answer is D
Explanation
a. This is an appropriate order for a client with severe preeclampsia to monitor fetal well-being.
b. This is an appropriate order for a client with severe preeclampsia to monitor fluid status.
c. This is an appropriate order for a client with severe preeclampsia to monitor for signs of worsening preeclampsia.
d. This order may not be appropriate for a client with severe preeclampsia who may be at risk for falls or other complications. The nurse should clarify this order with the provider.
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