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.)

Inactivated inﬂuenza.

Human papillomavirus.

Varicella.

Measles, mumps, and rubella.

Diphtheria-acellular pertussis.

Answer and Explanation

Correct Answer : A,E

The nurse should plan to immunize the client with the inactivated inﬂuenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).

The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated ﬂu vaccine and the Tdap vaccine.

The other vaccines listed are not recommended during pregnancy:

The human papillomavirus vaccine is not recommended during pregnancy.
The varicella vaccine is not recommended during pregnancy.
The measles, mumps, and rubella vaccine is not recommended during pregnancy.

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Correct Answer is ["1227"]

Explanation

Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).

It involves adding seven days and subtracting three months from the ﬁrst day of the LMP.

It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for diﬀerent women 1.

Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.

Subtracting three months would give December 27 of the previous year.

Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.

A. Creatinine 0.8 mg/dL. B. Platelet count 60,000/mm. C. Hemoglobin 148 g/dL. D. Urine protein concentration 200.

Correct Answer is B

Explanation

A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.

Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.

Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.

Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.

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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 assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

Correct Answer is ["1227"]

Explanation

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

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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.)