A client who is 1 day postpartum receives a varicella vaccine in the hospital.
Which of the following responses indicates that the client will need further teaching about the vaccine?
I will tell my pregnant friend to get their shot after they have their baby to be safe.
My friend had chicken pox as a kid, so they probably don't need this vaccine.
I'm glad this isn't an annual vaccine like the flu shot.
I will get my second dose of the vaccine at the pharmacy 12 weeks postpartum.
The Correct Answer is C
Choice A rationale
Advising a pregnant friend to get the varicella vaccine postpartum is correct as it is a live vaccine not recommended during pregnancy due to potential risks to the fetus.
Choice B rationale
If a person had chickenpox, they likely have immunity, but it's still beneficial to assess for varicella zoster immunity to determine if vaccination is necessary.
Choice C rationale
Varicella vaccine requires two doses, and misunderstanding this indicates a need for further teaching to ensure complete immunization and protection.
Choice D rationale
Planning to get the second dose at the pharmacy 12 weeks postpartum is correct, showing understanding of the vaccination schedule and follow-up care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While nipple pain can occur, it is not normal and often indicates incorrect latch or positioning. Proper education about breastfeeding techniques can help prevent and manage nipple pain, ensuring a more comfortable experience for the mother.
Choice B rationale
Routine care should be delayed until the first feeding is completed to ensure bonding and proper initiation of breastfeeding. Early skin-to-skin contact and uninterrupted first feeding are crucial for newborn adjustment and breastfeeding success.
Choice C rationale
Feeding based on crying can lead to delayed response to hunger cues. It is recommended to feed the baby when early hunger signs are observed, such as rooting, lip smacking, or hands to mouth, rather than waiting until they cry.
Choice D rationale
Newborns typically feed every 2-3 hours, not every hour. Feeding schedules should be flexible and based on the baby's hunger cues rather than a strict timetable. Overfeeding every hour can lead to discomfort and digestive issues in the newborn.
Correct Answer is D
Explanation
Choice A rationale
The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.
Choice B rationale
The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.
Choice C rationale
The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.
Choice D rationale
The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.
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