A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?

You can receive an influenza vaccination during pregnancy.

You should not receive the rubella vaccine while breastfeeding.

You should receive a varicella vaccine before you deliver.

You cannot receive the Tdap vaccine until after you deliver.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The nurse should include in the teaching that a client who is 23 weeks pregnant can receive an influenza vaccination during pregnancy. This is because the influenza vaccine is safe and recommended for pregnant women to protect both the mother and the baby from the flu.

Choice B rationale

The rubella vaccine is a live vaccine and is not recommended during pregnancy or while breastfeeding due to the potential risk to the baby. However, it can be given immediately after delivery if the woman is not immune.

Choice C rationale

The varicella vaccine is also a live vaccine and is not recommended during pregnancy. It should be given before pregnancy or immediately after delivery if the woman is not immune.

Choice D rationale

The Tdap (Tetanus, Diphtheria, Pertussis) vaccine is actually recommended during each pregnancy, regardless of the patient’s previous history of receiving the vaccine. The optimal timing for Tdap administration is between 27 and 36 weeks of gestation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice D rationale

Unilateral, cramp-like abdominal pain. This is a common symptom of an ectopic pregnancy. The pain usually starts on one side of the abdomen after the early stages of pregnancy and may be accompanied by spotting or vaginal bleeding.

Choice A rationale

Large amount of vaginal bleeding. While vaginal bleeding can occur in an ectopic pregnancy, it’s usually light to moderate, not large. Heavy vaginal bleeding is more commonly associated with miscarriage or other conditions.

Choice B rationale

Severe nausea and vomiting. While some women with an ectopic pregnancy may experience nausea and vomiting, these symptoms are common in early pregnancy and are not specific to ectopic pregnancy.

Choice C rationale

Uterine enlargement greater than expected for gestational age. This is not a typical symptom of an ectopic pregnancy. In fact, because the pregnancy is not in the uterus, the size of the uterus may be smaller than expected for the gestational age.

A. Shortly after giving birth. B. Immediately. C. During her next attempt to get pregnant. D. In the third trimester.

Correct Answer is A

Explanation

Choice A rationale

The recommended time for rubella immunization for a woman who does not have immunity and is in the first trimester of pregnancy is shortly after giving birth. This is because the rubella vaccine is a live vaccine and is not recommended during pregnancy due to the potential risk to the fetus.

Choice B rationale

The rubella vaccine should not be given immediately during pregnancy due to the potential risk to the fetus.

Choice C rationale

While it’s ideal for a woman to be immune to rubella before she gets pregnant, if she finds out during pregnancy that she’s not immune, the vaccine should be given after delivery.

Choice D rationale

The rubella vaccine is not recommended during the third trimester of pregnancy due to the potential risk to the fetus.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is educating a client who is 23 weeks pregnant about immunizations.Which statement should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient suspected of having an ectopic pregnancy at 8 weeks of gestation.Which symptoms should the nurse expect to identify as consistent with the diagnosis?

Correct Answer is D

Explanation

A nurse is caring for a client during the first trimester of pregnancy.After reviewing the client’s blood work, the nurse notices she does not have immunity to rubella.When is the recommended time for rubella immunization?

Correct Answer is A

Explanation

A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives.The client states that she is nervous because she has never had a pelvic examination.Which response should the nurse make?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation.The client inquires about the cause of her heartburn.Which of the following responses should the nurse make?

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?

A nurse is attending to a client.The nurse notes the following vital signs: Heart rate 88/min, Temperature 38.2 C (100.9" F), Respiratory rate 20/min, Blood pressure 122/58 mm Hg. Based on the client’s medical record, what provider prescription should the nurse anticipate?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?

A nurse is discussing contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her. What should the nurse respond?

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?