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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale
Metal detectors at airport security checkpoints are considered safe and do not pose any risk of harm to the fetus.
Choice B rationale
Seat belts and shoulder restraints should always be used as they provide essential protection for both the mother and the fetus during travel.
Choice C rationale
Pregnant women are advised to walk around every hour during long periods of sitting to improve circulation and prevent blood clots, enhancing fetal health.
Choice D rationale
Prolonged sitting and crossing legs can impede circulation and increase the risk of venous thromboembolism, making it essential to avoid such practices.

A. Fetal movement felt by pregnant woman. B. Fetal heart rate noted on ultrasound. C. A positive pregnancy test. D. Braxton Hicks contractions.

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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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:

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Naxlex Comprehensive Predictor Exams

When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that.

Correct Answer is C

Explanation

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

Correct Answer is B

Explanation

A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

As relates to the structure and function of the placenta, the nurse should be aware that.

The nurse places a Toco (tocodynamometer) on a client admitted in early labor. The nurse explains to the client that this device provides an accurate assessment of which of the following:

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

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: