The nurse is discussing a patient’s vaccination history at her 32-week gestation appointment.
The nurse knows that her teaching has been effective when the patient states:
I will go to the clinic to get my rubella shot today.
I will wait until after I have my baby to get my rubella shot.
I had my Tdap shot with my last baby 2 years ago, I do not need another now.
I will hold off on my flu shot this year.
The Correct Answer is B
Choice A rationale
Rubella vaccination is contraindicated during pregnancy due to the live virus, which poses a risk to the fetus. Administration should occur postpartum to avoid congenital rubella syndrome in the infant.
Choice B rationale
This statement is correct as rubella vaccination should be deferred until after delivery. It avoids exposure to the live virus during pregnancy, protecting fetal health.
Choice C rationale
The Tdap vaccine is recommended during each pregnancy, typically between 27 and 36 weeks gestation, to boost maternal antibodies and provide passive immunity to the newborn.
Choice D rationale
The flu vaccine is recommended during pregnancy to protect both the mother and the baby from influenza. It reduces the risk of severe illness and complications from the flu.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Human chorionic gonadotropin (hCG) is produced by the placenta, maintaining the corpus luteum and promoting progesterone production crucial for sustaining pregnancy.
Choice B rationale
Testosterone is not produced by the placenta; it is primarily synthesized in the testes and ovaries and not involved in normal pregnancy hormone production.
Choice C rationale
Insulin is not produced by the placenta; instead, it is secreted by the pancreas and regulates blood glucose levels, not directly linked to pregnancy hormones.
Choice D rationale
Estrogen is produced by the placenta, contributing to the development of female secondary sexual characteristics and maintaining the uterine lining during pregnancy.
Choice E rationale
Progesterone is produced by the placenta, supporting the uterine lining's maintenance, preventing contractions, and creating a suitable environment for fetal development.
Correct Answer is B
Explanation
Choice A rationale
Although the placenta acts as a partial barrier, it does not keep out all harmful substances, allowing some to cross and affect fetal development.
Choice B rationale
One of the placenta's early functions is producing hormones like human chorionic gonadotropin (hCG), estrogen, and progesterone, making it act as an endocrine gland.
Choice C rationale
The placenta does not thin out; it remains robust and increases in thickness to support the growing fetus and facilitate nutrient and gas exchange.
Choice D rationale
While optimal blood circulation through the placenta is crucial, this statement lacks detail on the specific structural and functional aspects of the placenta.
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