A nurse is attending to an antepartum client whose lab results show a negative rubella titer.
What is the correct interpretation of this data?
The client is immune to the rubella virus.
The client needs a rubella vaccination immediately.
The client should receive a rubella immunization post-delivery.
The client is not currently infected with the rubella virus.
The Correct Answer is C
Choice A rationale
A negative rubella titer indicates that the client does not have immunity to the rubella virus. Therefore, the statement that the client is immune to the rubella virus is incorrect.
Choice B rationale
While it is true that a person with a negative rubella titer needs a rubella vaccination, it is not recommended to administer the vaccine immediately during pregnancy due to the potential risks to the fetus. Therefore, this statement is not correct in this context.
Choice C rationale
The correct interpretation of a negative rubella titer in an antepartum client is that the client should receive a rubella immunization post-delivery. This is because rubella can cause serious complications if contracted during pregnancy, including congenital rubella syndrome in the newborn. Vaccination post-delivery will protect the client in future pregnancies.
Choice D rationale
A negative rubella titer does not provide information about whether the client is currently infected with the rubella virus. It only indicates that the client does not have immunity to the virus. Therefore, this statement is not a correct interpretation of the data.
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Related Questions
Correct Answer is C
Explanation
Choice C rationale
Phenylketonuria (PKU) is a metabolic disorder that results in decreased metabolism of the amino acid phenylalanine. High levels of phenylalanine can lead to intellectual disability and other serious health problems. Foods high in protein, such as peanut butter, contain high levels of phenylalanine and should be avoided by individuals with PKU34.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Anomalies in fetal chromosomes can be identified through amniocentesis. This test involves the extraction of a small amount of amniotic fluid, which contains fetal tissues. The chromosomes of the fetus can be examined for abnormalities.
Choice B rationale
Cephalopelvic disproportion refers to a condition where the mother’s pelvis is too small to allow the baby to pass through the birth canal. This condition cannot be identified through amniocentesis. Amniocentesis is a diagnostic procedure that examines the amniotic fluid (not the maternal pelvis or the size of the fetus) to detect chromosomal abnormalities and certain genetic disorders.
Choice C rationale
Fetal gender can be determined through amniocentesis. The test can identify the presence of Y chromosomes, which would indicate a male fetus.
Choice D rationale
Rh incompatibility is a condition that occurs when a mother is Rh-negative and the baby is Rh-positive. This condition cannot be identified through amniocentesis. Instead, it is typically identified through blood tests of the mother and father.
Choice E rationale
Neural tube defects, such as spina bifida and anencephaly, can be identified through amniocentesis. The test can detect high levels of alpha-fetoprotein, which is often present when a fetus has a neural tube defect.
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