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.
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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Related Questions
Correct Answer is D
Explanation
Choice A reason: This is a misleading and dismissive response that does not explain what HPV is or how it can affect the patient's health. It also implies that the patient's condition is trivial and easily resolved, which is not true.
Choice B reason: This is a judgmental and accusatory response that does not answer the patient's question. It also assumes that the patient's current partner is the source of the infection, which may not be the case. HPV can remain dormant for years and be transmitted by previous partners.
Choice C reason: This is a false and alarming response that does not provide accurate information about HPV or HIV. It also scares the patient unnecessarily and does not offer any hope or support.
Choice D reason: This is the best response as it provides a clear and factual explanation of what HPV is and how it can affect the patient's health. It also acknowledges that there is no cure for the infection but that the symptoms can be managed with proper treatment.
Correct Answer is B
Explanation
Choice A reason: Human immunodeficiency virus (HIV) is incorrect because it is not characterized by recurrent episodes. It is a chronic infection that progressively damages the immune system and can lead to acquired immunodeficiency syndrome (AIDS).
Choice B reason: Herpes simplex virus (HSV) 2 is correct because it is characterized by recurrent episodes. It is a viral infection that causes genital herpes, which is marked by painful blisters and sores in the genital area. The virus remains dormant in the nerve cells and can reactivate periodically, causing outbreaks.
Choice C reason: Human papillomavirus (HPV) is incorrect because it is not characterized by recurrent episodes. It is a viral infection that causes genital warts and cervical cancer. The virus can persist in the body for a long time, but it does not cause repeated symptoms.
Choice D reason: Cytomegalovirus (CMV) is incorrect because it is not characterized by recurrent episodes. It is a viral infection that usually causes mild or no symptoms in healthy people, but can be serious in people with weakened immune systems or unborn babies. The virus can remain latent in the body, but it does not cause flare-ups.
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