A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?

You can receive an influenza vaccination during pregnancy.

You should not receive the rubella vaccine while breastfeeding.

You should receive a varicella vaccine before you deliver.

You cannot receive the Tdap vaccine until after you deliver.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The nurse should include in the teaching that a client who is 23 weeks pregnant can receive an influenza vaccination during pregnancy. This is because the influenza vaccine is safe and recommended for pregnant women to protect both the mother and the baby from the flu.

Choice B rationale

The rubella vaccine is a live vaccine and is not recommended during pregnancy or while breastfeeding due to the potential risk to the baby. However, it can be given immediately after delivery if the woman is not immune.

Choice C rationale

The varicella vaccine is also a live vaccine and is not recommended during pregnancy. It should be given before pregnancy or immediately after delivery if the woman is not immune.

Choice D rationale

The Tdap (Tetanus, Diphtheria, Pertussis) vaccine is actually recommended during each pregnancy, regardless of the patient’s previous history of receiving the vaccine. The optimal timing for Tdap administration is between 27 and 36 weeks of gestation.

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Correct Answer is D

Explanation

Choice A rationale

While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.

Choice B rationale

Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.

Choice C rationale

Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.

Choice D rationale

Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore

A. Insert an indwelling urinary catheter. B. Witness the signature for informed consent for surgery. C. Prepare the abdominal and perineal areas. D. Initiate IV access.

Correct Answer is D

Explanation

Choice A rationale

Inserting an indwelling urinary catheter is not the priority nursing action in this situation. While it may be necessary later in the care process, it is not the immediate concern when the client is experiencing a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. The priority is to stabilize the client and ensure the well-being of the fetus.

Choice B rationale

Witnessing the signature for informed consent for surgery is an important step before any surgical procedure. However, it is not the priority nursing action in this situation. The client’s condition could deteriorate rapidly due to the bleeding, and immediate medical interventions are necessary to stabilize the client and fetus.

Choice C rationale

Preparing the abdominal and perineal areas may be necessary if the client requires a surgical intervention. However, this is not the priority nursing action. The client is experiencing significant bleeding, and the priority is to stabilize the client’s condition.

Choice D rationale

Initiating IV access is the priority nursing action in this situation. The client is experiencing a large amount of painless, bright red vaginal bleeding, which could lead to hypovolemia and shock. IV access allows for the rapid administration of fluids and medications to stabilize the client’s condition.

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A nurse is educating a client who is 23 weeks pregnant about immunizations.Which statement should the nurse include in the teaching?

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Correct Answer is D

Explanation

Correct Answer is D

Explanation

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A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?