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 B

Explanation

Nägele’s Rule is a method for estimating the expected date of delivery (EDD) or conﬁnement (EDC).

It involves adding seven days and one year, and subtracting three months, from the ﬁrst day of the last menstrual period (LMP)1.

Using this rule, if the ﬁrst day of the client’s last menstrual period was July 28th, then adding seven days would be August 4th.

Subtracting three months would be May 4th.

Adding one year would be May 4th of the following year.

Therefore, the nurse should document May 5th as the client’s expected delivery date.

Choice A is incorrect because April 21st is too early according to Nägele’s Rule calculation.

Choice C is incorrect because May 21st is too late according to Nägele’s Rule calculation.

Choice D is incorrect because April 4th is too early according to Nägele’s Rule calculation.

A. "Eat a high-fat snack before getting out of bed.” B. "Avoid eating snacks before bedtime.” C. "Consume foods served at cool temperatures.” D. "Drink additional liquids with each meal.”

Correct Answer is C

Explanation

A nurse should recommend that a client who is experiencing nausea and vomiting during pregnancy consume foods served at cool temperatures. This is because cool foods may be easier to tolerate than hot foods.

Choice A is not correct because high-fat foods can worsen nausea and vomiting during pregnancy.

Choice B is not correct because eating a snack before bedtime may help prevent nausea and vomiting in the morning.

Choice D is not correct because drinking additional liquids with meals can worsen nausea and vomiting during pregnancy.

Instead, it may be helpful to sip ﬂuids throughout the day.

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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 using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?

Correct Answer is C

Explanation

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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.)