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 A
Explanation
Dorsiflexion of the great toe is the expected finding for the Babinski reflex in a newborn. Babinski is positive in newborns up to the age of 2 years.
Correct Answer is B
Explanation
Methicillin-resistant Staphylococcus aureus (MRSA) is a type of bacteria that can be spread through contact with contaminated objects or people. Contact isolation precautions are used to prevent the spread of infectious organisms that are spread by direct or indirect contact. This includes wearing gloves and a gown when entering the client's room and removing them before leaving the room, as well as using dedicated equipment and ensuring proper disinfection of surfaces.
Droplet isolation precautions are used to prevent the spread of organisms that are spread by droplets from coughing, sneezing, or talking. Airborne isolation precautions are used to prevent the spread of organisms that can remain suspended in the air and travel long distances, such as tuberculosis. Protective environment precautions are used for clients who have compromised immune systems, such as those who have undergone a bone marrow transplant, and involve using special air filtration systems and limiting visitors to reduce the risk of infection.
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