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.)

The purpose of bathing the newborn before initiating skin-to-skin contact is to decrease the risk of transmission of the virus from the mother to the newborn. Instructing the client to stop taking the antiretroviral medications at 32 weeks of gestation is incorrect as these medications should be taken throughout pregnancy to decrease the risk of transmission to the fetus.

Using a fetalscalp electrode during labor and delivery is also not an appropriate action as it increases the risk of transmission of the virus to the newborn. Administering a pneumococcal immunization to the newborn within 4 hours following birth is not specific to HIV positive newborns and is not related to preventing transmission of the virus.

A newborn's urine output is a good indicator of hydration status, and it is important to ensure that the newborn is receiving adequate fluid intake. A newborn typically urinates at least 6-8 times a day, so if the newborn urinates less than six times a day, it could indicate dehydration or another issue that requires medical attention.

The nurse should not instruct the client to place triple antibiotic ointment on the baby's umbilical cord, as this can actually delay the healing process and increase the risk of infection. Instead, the nurse should advise the client to keep the umbilical cord clean and dry, and to contact the healthcare provider if there are any signs of infection (such as redness, swelling, or discharge).

The nurse should also not instruct the client to swaddle the baby tightly with his legs extended before laying him down to sleep, as this can increase the risk of hip dysplasia. Instead, the nurse should advise the client to place the baby on his back to sleep, on a firm and flat surface with no soft bedding, toys, or pillows.

Lastly, the nurse should not instruct the client to retract the foreskin to clean the baby's penis during each bath. In fact, the foreskin should never be forcibly retracted in a newborn, as it can cause pain, bleeding, and increase the risk of infection. The nurse should advise the client to simply clean the penis with warm water and mild soap during bath time, without forcibly retracting the foreskin.