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
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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Related Questions
Correct Answer is D
Explanation
Broccoli is an excellent source of calcium, with one cup of cooked broccoli providing approximately 62 milligrams of calcium. In comparison, one medium potato provides only around 10 milligrams of calcium, 1/2 cup cubed avocado provides around 11 milligrams of calcium, and one large banana provides only around 6 milligrams of calcium.
Therefore, the nurse should encourage the client to consume foods that are rich in calcium such as leafy greens, tofu, fortified plant-based milk, fortified plant-based yogurt, and other fortified foods. Additionally, the nurse may recommend the client to take calcium supplements as needed to ensure adequate calcium intake during pregnancy.
Correct Answer is B
Explanation
Retained placental fragments is a risk factor for postpartum hemorrhage. When placental fragments remain in the uterus, they prevent the uterus from contracting down and can cause significant bleeding. Pregnancy-induced hypertension, oligohydramnios, and meconium-stained fluid are not considered risk factors for postpartum hemorrhage.
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