A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

When she does not desire future pregnancies

Prior to discharge from the hospital after giving birth

Two weeks before attempting pregnancy again

Prior to giving birth

Answer and Explanation

The Correct Answer is B

Choice A rationale: If the woman does not desire future pregnancies, she may not need the MMR vaccine, but the timing of vaccine administration is not appropriate for the current situation.
Choice B rationale: Administering the MMR vaccine prior to discharge from the hospital after giving birth is recommended during the postpartum period, especially if the woman is planning to have more children in the future.
Choice C rationale: The MMR vaccine contains live attenuated viruses and is contraindicated during pregnancy. If a woman is planning to become pregnant and is not immune to rubella, she should receive the MMR vaccine at least one month before attempting pregnancy. This allows time for her body to develop immunity before conception occurs.
Choice D rationale: The current guidelines from the Centers for Disease Control and Prevention (CDC) advise that the measles, mumps, rubella (MMR) vaccine should not be administered during pregnancy due to possible effects on the uterus.

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Correct Answer is C

Explanation

Choice A rationale:
Turning the client onto her left side is a common measure to improve fetal oxygenation and is often used during labor. However, in this scenario, the nurse needs to address the absence of fetal movement during the nonstress test.
Choice B rationale:
Encouraging the client to walk around and then resume monitoring is not appropriate when there is a concern about the absence of fetal movement during the nonstress test.
Choice C rationale:
Vibroacoustic stimulation involves using sound stimulation to elicit fetal movement. If there has been no fetal movement during the nonstress test, this intervention can be used to assess fetal well-being and provoke a response from the fetus.
Choice D rationale:
Preparing the client for induction of labor is not indicated based solely on the absence of fetal movement during a nonstress test. Further assessment and interventions are needed before considering induction.

A. "I will eat crackers before I get out of bed in the morning." B. "I will drink water with my meals. C. "I will limit my protein intake." D. "I will eat every 6 hours throughout the day."

Correct Answer is A

Explanation

Choice A rationale: This statement indicates that the client understands the teaching about managing hyperemesis gravidarum. Eating crackers before getting out of bed in the morning is a common strategy to help alleviate morning sickness and hyperemesis gravidarum. Eating small, bland, and easily digestible foods before rising from bed can help prevent nausea and vomiting.
Choice B rationale: Drinking water with meals is not a specific strategy for managing hyperemesis gravidarum. In some cases, consuming liquids with meals might worsen nausea in clients with severe morning sickness.
Choice C rationale: Limiting protein intake is not a recommended strategy for managing hyperemesis gravidarum. Adequate protein intake is essential during pregnancy for proper fetal development.
Choice D rationale: Eating every 6 hours might not be sufficient for managing hyperemesis gravidarum. Frequent, small meals and snacks are often recommended to help manage nausea and vomiting in pregnancy.

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A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has hyperemesis gravidarum about nutrition at home. Which of the following statements indicates that the client understands the teaching?

Correct Answer is A

Explanation

A nurse is collecting data from a newborn who is 48-hr old. Which of the following findings should the nurse report to the provider?

A nurse is assisting in collecting data for a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment? (Select all that apply.)

A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

A nurse is collecting data from a newborn. Which of the following anatomical landmarks should the nurse use to measure chest circumference?

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A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirms that the client is in labor?

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A nurse is assisting with the care of a client who is in labor. Immediately after the delivery of a newborn, which of the following actions should the nurse take first?