A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
Human papillomavirus
Varicella
Diphtheria-acellular pertussis
Inactivated influenza
Measles, mumps, and rubella
Correct Answer : C,D
The nurse should plan to immunize the client with the following vaccines: Inactivated influenza: The Centers for Disease Control and Prevention (CDC) recommends that all pregnant women receive the influenza vaccine during any trimester of pregnancy, as pregnant women are at an increased risk of severe illness from the flu.
Diphtheria-acellular pertussis: The CDC recommends that pregnant women receive the Tdap vaccine (which includes protection against tetanus, diphtheria, and acellular pertussis) during each pregnancy, ideally between 27 and 36 weeks of gestation. This is to protect both the mother and the newborn from pertussis (whooping cough).
The following vaccines are not recommended:
Measles, mumps and rubella vaccine should not be given during pregnancy.
The HPV vaccine is not routinely recommended during pregnancy, and if the client becomes pregnant while receiving the HPV vaccine series, vaccination should be delayed until after the pregnancy.
The varicella vaccine (which protects against chickenpox) is not recommended during pregnancy, and if the client is not immune to chickenpox, the vaccine should be given after the pregnancy is over.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Magnesium sulfate is a medication used to prevent and treat seizures in clients with preeclampsia and eclampsia. It is also used to stop preterm labor. However, magnesium sulfate can cause a variety of side effects, including decreased reflexes, which can be a sign of magnesium toxicity. Therefore, it is important for the nurse to monitor the client for signs of toxicity.
Option A is incorrect because a decrease in the frequency of contractions is a desired effect of magnesium sulfate when it is used to stop preterm labor.
Option B is also incorrect because although a blood pressure of 150/100 mm Hg is elevated, it is not an unexpected finding in a client with preeclampsia, and it may actually be considered an improvement if the client's blood pressure was previously higher.
Option D is incorrect because a urinary output of 35 mL/hr is within the normal range for an adult.
Correct Answer is ["C","D"]
Explanation
The nurse should plan to immunize the client with the following vaccines: Inactivated influenza: The Centers for Disease Control and Prevention (CDC) recommends that all pregnant women receive the influenza vaccine during any trimester of pregnancy, as pregnant women are at an increased risk of severe illness from the flu.
Diphtheria-acellular pertussis: The CDC recommends that pregnant women receive the Tdap vaccine (which includes protection against tetanus, diphtheria, and acellular pertussis) during each pregnancy, ideally between 27 and 36 weeks of gestation. This is to protect both the mother and the newborn from pertussis (whooping cough).
The following vaccines are not recommended:
Measles, mumps and rubella vaccine should not be given during pregnancy.
The HPV vaccine is not routinely recommended during pregnancy, and if the client becomes pregnant while receiving the HPV vaccine series, vaccination should be delayed until after the pregnancy.
The varicella vaccine (which protects against chickenpox) is not recommended during pregnancy, and if the client is not immune to chickenpox, the vaccine should be given after the pregnancy is over.
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