A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching?

You can receive an influenza vaccination during pregnancy.

You cannot receive the Tdap vaccine until after you deliver.

You should receive a varicella vaccine before you deliver.

You should not receive the rubella vaccine while breastfeeding.

Answer and Explanation

The Correct Answer is A

Choice A reason: You can receive an influenza vaccination during pregnancy, as it is safe and recommended for pregnant women. The flu vaccine can protect you and your baby from serious complications of influenza, such as pneumonia, preterm labor, and low birth weight. The flu vaccine can also provide some immunity to your baby for the first few months of life. ¹

Choice B reason: You can receive the Tdap vaccine during pregnancy, as it is safe and recommended for pregnant women. The Tdap vaccine can protect you and your baby from tetanus, diphtheria, and pertussis (whooping cough). Pertussis can be very dangerous for newborns, as it can cause severe coughing, breathing problems, and even death. The Tdap vaccine can also provide some immunity to your baby for the first few months of life.

Choice C reason: You should not receive a varicella vaccine before you deliver, as it is not recommended for pregnant women. The varicella vaccine can protect you and your baby from chickenpox, which can cause serious complications such as skin infections, pneumonia, and birth defects. However, the varicella vaccine is a live vaccine, which means it contains a weakened form of the virus that can cause infection in some people. Therefore, it is not safe for pregnant women or their babies.

Choice D reason: You should not receive the rubella vaccine while breastfeeding, as it is not recommended for breastfeeding women. The rubella vaccine can protect you and your baby from rubella, which can cause serious complications such as miscarriage, stillbirth, and birth defects. However, the rubella vaccine is a live vaccine, which means it contains a weakened form of the virus that can cause infection in some people. Therefore, it is not safe for breastfeeding women or their babies.

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Correct Answer is B

Explanation

Choice A: Decreased production of erythrocytes

This is not the primary cause of iron deficiency anemia during pregnancy. While erythrocyte production may be affected in certain conditions, it is not directly linked to iron deficiency anemia in pregnancy¹.

Choice B: Inadequate intake of iron

This is the correct answer. During pregnancy, the body needs more iron to make hemoglobin for the increased volume of blood. If the intake of iron is not sufficient, it could lead to iron deficiency anemia¹.

Choice C: Dilution of hemoglobin concentration

While it's true that the blood volume increases during pregnancy, leading to a relative dilution of hemoglobin, this is not the primary cause of iron deficiency anemia. The main issue is the lack of sufficient iron intake¹.

Choice D: The fetus establishing iron stores

While the fetus does require iron, which it gets from the mother, this is not the primary cause of iron deficiency anemia during pregnancy. The main issue is still the mother's inadequate intake of iron¹.

A. Infection B. Previous preterm birth C. Utero-placental insufficiency D. Chronic hypertension

Correct Answer is C

Explanation

Choice A reason: Infection is not a common cause of IUGR, as most infections do not cross the placenta and affect the fetal growth. However, some infections such as cytomegalovirus, rubella, or toxoplasmosis can cause congenital anomalies and IUGR.

Choice B reason: Previous preterm birth is not a direct cause of IUGR, as it does not affect the current pregnancy. However, it may indicate an underlying maternal or fetal condition that could increase the risk of IUGR, such as cervical incompetence, placental abruption, or preeclampsia.

Choice C reason: Utero-placental insufficiency is the most common cause of IUGR, as it reduces the blood flow and oxygen delivery to the fetus. It can result from maternal factors such as hypertension, diabetes, smoking, or drug abuse, or from placental factors such as placenta previa, placental infarction, or cord compression.

Choice D reason: Chronic hypertension is a risk factor for IUGR, as it can lead to utero-placental insufficiency and fetal hypoxia. However, it is not the only cause of IUGR, as other factors can also affect the placental function and fetal growth.

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A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

Iron deficiency anemia often occurs during pregnancy as a result of

Correct Answer is B

Explanation

Early detection allows for antenatal management for better neonatal outcomes. Your patient is 32 weeks gestation, gravida 5 para 4 and after a routine ultrasound she is told her baby is very small and has IUGR. She asks you what causes this and you tell her:

Correct Answer is C

Explanation

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