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 D
Explanation
Choice A rationale
Folic acid does not reduce the risk of preeclampsia. Instead, it is crucial for preventing neural tube defects in the developing fetus during early pregnancy.
Choice B rationale
While folic acid can improve overall nutrition, its primary importance during pregnancy is in preventing neural tube defects by aiding in proper neural development.
Choice C rationale
Folic acid does not prevent patent ductus arteriosus. It is specifically recommended to prevent neural tube defects like spina bifida by supporting proper neural tube closure.
Choice D rationale
Folic acid is essential for preventing neural tube defects such as spina bifida. It helps ensure the proper closure of the neural tube during early fetal development, reducing the risk of these defects.
Correct Answer is B
Explanation
Choice A rationale
Fetal movement felt by the pregnant woman is a presumptive sign of pregnancy, indicating probable fetal presence, but not definitive evidence.
Choice B rationale
Fetal heart rate noted on ultrasound is a positive sign of pregnancy, providing objective evidence of fetal existence within the uterus.
Choice C rationale
A positive pregnancy test indicates probable pregnancy due to hormonal presence, but it is not a definitive confirmation without further clinical evidence.
Choice D rationale
Braxton Hicks contractions are considered probable signs of pregnancy, as they indicate uterine activity without confirming the presence of a fetus.
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