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. Don’t worry. B. All you need to do is relax. C. What part of the exam makes you most nervous? D. A pelvic exam is required if you want birth control pills. I. will be with you during the exam.

Correct Answer is C

Explanation

Choice A rationale

While it’s important for the nurse to provide reassurance and support during the exam, this statement alone doesn’t address the client’s specific concerns or provide any useful information.

Choice B rationale

Telling the client to relax doesn’t address her concerns or provide any useful information. It’s normal to feel nervous before a pelvic exam, especially if it’s the first one.

Choice C rationale

Asking the client what part of the exam makes her most nervous allows the nurse to provide specific information and reassurance, which can help alleviate the client’s anxiety.

Choice D rationale

While a pelvic exam is often part of the process when starting oral contraceptives, it’s not always required. The need for a pelvic exam can depend on the client’s age, sexual history, and other factors.

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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?

Nursing Test Bank

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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?