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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale

Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.

Choice B rationale

Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.

Choice C rationale

Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.

Choice D rationale

Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.

A. Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders. B. The client's human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy. C. Thyroid replacement dosing will likely remain consistent throughout the pregnancy. D. Antenatal fetal surveillance will be required during the first trimester of pregnancy.

Correct Answer is A

Explanation

Choice A rationale

Hypothyroidism during pregnancy is associated with increased risks of metabolic disorders, including lipid and glucose metabolism disorders, which can affect both the mother and fetus.

Choice B rationale

hCG levels do not typically plateau in the first trimester; they continue to rise and peak around the 10th week of pregnancy before starting to decline.

Choice C rationale

Thyroid replacement dosing usually needs adjustment during pregnancy to meet the increased thyroid hormone requirements due to physiological changes and fetal development needs.

Choice D rationale

Antenatal fetal surveillance is generally required in the third trimester for hypothyroid pregnant clients to monitor fetal well-being, not during the first trimester.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has eclampsia. Which of the following changes should the nurse recognize as being associated with eclampsia?

Correct Answer is C

Explanation

A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse reinforce in the teaching?

Correct Answer is A

Explanation

A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits. Which of the following clients should the nurse identify as at risk for hypothyroidism?

A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation. Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

A nurse is reinforcing teaching with a newly licensed nurse about embryonic nutrition. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?

A nurse is reinforcing teaching about hyperthyroidism with a client at 10 weeks of gestation who has the condition. Which of the following statements should the nurse reinforce in the teaching?

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?