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 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.

A. Since you’re in your second trimester, you can drink as much as you like. B. Since you’re in your second trimester, there’s no problem with having one drink with dinner. C. Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy. D. One drink every night is too much. One drink three times a week should be fine.

Correct Answer is C

Explanation

Choice A rationale
Drinking as much as desired, even in the second trimester, can lead to fetal alcohol spectrum disorders. No safe amount of alcohol is known during pregnancy.
Choice B rationale
Despite being in the second trimester, no level of alcohol consumption is considered safe during pregnancy, as it poses a risk to fetal development.
Choice C rationale
The safest course is to abstain from alcohol throughout pregnancy as no specific amount has been deemed safe and it can cause irreversible harm to fetal development.
Choice D rationale
Even limiting alcohol consumption to three times a week poses a risk to fetal health, as any amount can potentially cause developmental issues.

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

Correct Answer is B

Explanation

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her:

Correct Answer is C

Explanation

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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:

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: