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.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While iron-rich foods are important for overall health and preventing anemia, they do not specifically minimize the risk of having a newborn with a neural tube defect.
Choice B rationale
Limiting alcohol consumption is crucial during pregnancy as it can lead to fetal alcohol syndrome. However, it does not specifically target the prevention of neural tube defects.
Choice C rationale
Aspartame, an artificial sweetener, has been a topic of debate regarding its safety during pregnancy. While it’s generally considered safe in moderation, avoiding foods containing aspartame does not specifically prevent neural tube defects.
Choice D rationale
Consuming foods fortified with folic acid is the most effective way to prevent neural tube defects. Folic acid is a B vitamin that is crucial for proper brain and spine development in the early stages of pregnancy.
Correct Answer is C
Explanation
GTPAL calculation:
Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.
Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).
Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.
Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.
Step 5 is: Determine Living (L) children = 2 (twins) = L2.
The GTPAL status is: G4 T0 P1 A2 L2.
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