A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply)

Diphtheria-acellular pertussis.

Human papillomavirus.

Varicella.

Measles, mumps, and rubella.

Inactivated influenza.

Answer and Explanation

Correct Answer : A,E

Choice A rationale

The Diphtheria-tetanus-acellular pertussis (Tdap) vaccine is recommended during each pregnancy, ideally between 27 and 36 weeks of gestation. This timing is crucial because it allows for the maternal production and optimal transplacental transfer of pertussis antibodies to the fetus. These antibodies provide crucial passive immunity to the newborn against pertussis (whooping cough), which is a severe and potentially fatal disease in infants before they can be directly immunized.

Choice B rationale

The Human papillomavirus (HPV) vaccine is not recommended during pregnancy because there is limited safety data regarding its use in pregnant women. While it is not known to cause adverse fetal effects, it is a recombinant vaccine and, as a precautionary measure, it should be delayed until the postpartum period. Routine HPV vaccination is typically administered to adolescents and young adults up to age 26.

Choice C rationale

The Varicella vaccine is a live attenuated virus vaccine and is contraindicated in pregnancy due to the theoretical risk of transmission of the live virus to the fetus, which could potentially cause congenital varicella syndrome. Women who are non-immune to varicella should receive this vaccine postpartum, before being discharged from the hospital, to protect future pregnancies.

Choice D rationale

The Measles, mumps, and rubella (MMR) vaccine is a live attenuated virus vaccine and is contraindicated in pregnancy due to the theoretical risk of fetal infection and subsequent congenital abnormalities, particularly from the rubella component. Women who are not immune to rubella should be vaccinated postpartum and advised to avoid conception for about one month following vaccination.

Choice E rationale

The inactivated influenza (flu shot) vaccine is recommended for all women who are pregnant during the flu season, regardless of their stage of gestation, including at 30 weeks. This is a killed virus vaccine and is considered safe in pregnancy. It protects the mother from severe influenza illness and also provides the newborn with passive immunity in the initial months of life.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["0.25"]

Explanation

Step 1 is: Determine the number of tablets by dividing the prescribed dose by the available dose per tablet. (50 mcg÷ 200 mcg/tablet) = 0.25 tablet. The final calculated answer is 0.25 tablet.

A. The newborn sleeps 16 hours a day. B. The newborn has fewer than four wet diapers in 24 hours. C. The newborn has loose stools. D. The newborn's cord stump is still attached after 1 week.

Correct Answer is B

Explanation

Choice A rationale

Newborns require substantial sleep for optimal growth and neurological development, often sleeping for 16 to 20 hours in a 24-hour period, though this varies. This is a normal physiologic finding, reflecting the rapid growth and high metabolic demands of infancy, and does not require immediate medical attention. The sleep is typically fragmented into short bouts.

Choice B rationale

Decreased urine output, specifically fewer than 6 to 8 wet diapers in 24 hours after the first few days of life, is a critical sign of dehydration and inadequate fluid intake, especially if the newborn is breastfed. This insufficient hydration can lead to hyperbilirubinemia, weight loss, and electrolyte imbalance, requiring prompt medical evaluation.

Choice C rationale

Newborn stools can normally be loose and frequent, especially in breastfed infants, who often pass stools several times a day. Stools in the first week progress from meconium to transitional to yellow, seedy, and loose, which is a normal finding and generally does not warrant contacting the provider unless signs of illness or diarrhea are present.

Choice D rationale

The umbilical cord stump usually dries and falls off within 1 to 3 weeks after birth due to a process of dry gangrene and separation. While most detach earlier, remaining attached after 1 week is still within the realm of normal variation and is not typically a cause for immediate concern unless signs of infection are present.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer misoprostol 50 mcg intravaginally for cervical ripening to a client who is at 40 weeks of gestation. Available is misoprostol 200 mcg tablets. How many tablets should the nurse plan to administer?

Correct Answer is ["0.25"]

Explanation

A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates an understanding of the teaching?

A nurse in a clinic is caring for a client who is antepartum. The client expresses concern about preparing their preschooler for a new sibling. Which of the following responses should the nurse make?

A nurse is discussing nonpharmacological pain management during labor with a client. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indications of hunger in newborns? (Select all that apply)

A nurse is caring for a female client who is at 42 weeks of gestation in the prenatal clinic. Exhibits Select all findings that require further intervention by the nurse.

A nurse is caring for a female client who is at 30 weeks of gestation in the labor and delivery unit. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

ExhibitsThe nurse is assessing the client 15 minutes later. How should the nurse interpret the following findings?

A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply)