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 A
Explanation
Choice A rationale
Car seats should not be purchased used as their history is unknown. There might be unseen damages or recalls that could compromise the safety of the infant.
Choice B rationale
The chest clip should be at the infant's armpit level, not shoulder level. Incorrect positioning can affect the restraint system's efficiency.
Choice C rationale
Infants should not wear coats in their car seats because bulky clothing can prevent the harness from fitting snugly, reducing its effectiveness in a crash.
Choice D rationale
Infant car seats should remain rear-facing until at least the age of 2 or until they reach the maximum weight/height limit of the seat, not turn forward-facing at the first birthday.
Correct Answer is A
Explanation
Choice A rationale
Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.
Choice B rationale
Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.
Choice C rationale
Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.
Choice D rationale
Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.
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