A nurse is caring for an antepartum patient whose lab results show a negative rubella titer. What does this data mean?
The patient needs a rubella vaccination after delivery.
The patient is not currently infected with rubella.
The patient is immune to the rubella virus.
The patient requires a rubella vaccination at this time.
The Correct Answer is A
Choice A rationale
A negative rubella titer indicates that the patient does not have immunity to the rubella virus. Therefore, the patient would need a rubella vaccination after delivery to prevent future infection.
Choice B rationale
A negative rubella titer does not necessarily mean that the patient is not currently infected with rubella. It simply means that the patient does not have immunity to the virus.
Choice C rationale
A negative rubella titer indicates that the patient is not immune to the rubella virus, not that they are immune.
Choice D rationale
While the patient does need a rubella vaccination, it is not typically given during pregnancy due to the theoretical risk to the fetus. Instead, it is usually given after delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The priority nursing action for a patient in labor with an epidural anesthesia block and a blood pressure of 80/40 mm Hg is to place the patient in a lateral position. This can help improve maternal blood flow and fetal oxygenation.
Correct Answer is A
Explanation
The correct answer is Choice A
Choice A rationale: Ensuring that the mother calls and the nurse takes the baby to the room maintains security and safety protocols. It prevents unauthorized individuals from handling the infant, thus minimizing the risk of abduction or harm.
Choice B rationale: Showing photo identification alone is not sufficient to ensure the safety of the newborn. The nurse should directly handle the transfer of the baby to maintain strict security measures and verify the proper identification in the process.
Choice C rationale: Allowing someone to push the baby in a wheeled bassinet without proper authorization and identification verification does not adhere to safety protocols. The nurse should always verify and manage the transfer to ensure the infant’s security.
Choice D rationale: Carrying the grandchild to the room without adequate identification verification and authorization does not follow safety protocols. The nurse should always be involved in the transfer to prevent any security breaches and ensure the infant’s safety.
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