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.)

Human papillomavirus

Varicella

Diphtheria-acellular pertussis

Inactivated influenza

Measles, mumps, and rubella

Answer and Explanation

Correct Answer : C,D

The nurse should plan to immunize the client with the following vaccines: Inactivated influenza: The Centers for Disease Control and Prevention (CDC) recommends that all pregnant women receive the influenza vaccine during any trimester of pregnancy, as pregnant women are at an increased risk of severe illness from the flu.

Diphtheria-acellular pertussis: The CDC recommends that pregnant women receive the Tdap vaccine (which includes protection against tetanus, diphtheria, and acellular pertussis) during each pregnancy, ideally between 27 and 36 weeks of gestation. This is to protect both the mother and the newborn from pertussis (whooping cough).

The following vaccines are not recommended:

Measles, mumps and rubella vaccine should not be given during pregnancy.

The HPV vaccine is not routinely recommended during pregnancy, and if the client becomes pregnant while receiving the HPV vaccine series, vaccination should be delayed until after the pregnancy.

The varicella vaccine (which protects against chickenpox) is not recommended during pregnancy, and if the client is not immune to chickenpox, the vaccine should be given after the pregnancy is over.

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Correct Answer is C, D, A, B

Explanation

C. Ask the client to lie on her back and with her knees flexed.

D. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis.

A. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus.

B. Observe the client's perineum for the passage of clots and the amount of bleeding.

A. "Transmission can occur via the saliva and urine of the newborn." B. "This infection requires that airborne precautions be initiated for the newborn." C. "Mothers will receive prophylactic treatment with acyclovir prior to delivery." D. “Lesions are visible on the mother's genitalia."

Correct Answer is A

Explanation

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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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 preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C, D, A, B

Explanation

The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Correct Answer is A

Explanation

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