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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."
Rationale:
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Calculating the Estimated Date of Delivery (EDD): The EDD can be calculated using Naegele's Rule, which is a standard method used to estimate the due date. The rule involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and adjusting the year if necessary.
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Application of Naegele’s Rule:
- Start with the first day of the LMP: May 4, 2022.
- Subtract three months: February 4, 2022.
- Add seven days: February 11, 2022.
- Since the year needs to be adjusted, the EDD is February 11, 2023.
Key Points:
- Naegele’s Rule is commonly used but assumes a 28-day menstrual cycle and ovulation on the 14th day. Variations in cycle length can affect the accuracy.
Correct Answer is A
Explanation
Choice A rationale
The maternal serum alpha-fetoprotein test is a part of what’s often called the “triple screen” that can assess whether a pregnant woman may be at increased risk of carrying a baby with certain disorders, such as neural tube defects (spinal defects) or Down syndrome.
Choice B rationale
While the test can provide information about the risk of certain birth defects, it does not assess various markers of fetal well-being.
Choice C rationale
The test does not identify an Rh incompatibility between the mother and fetus. That would be determined through separate blood tests.
Choice D rationale
The test does not assess fetal lung maturity. Other tests, such as amniocentesis, can provide this information.
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