QUESTION: "When preparing a teaching plan for a client who is to receive a rubella vaccine during the postpartum period, the nurse should include which of the following?"
CHOICES
( X ) a.) The vaccine prevents a future fetus from developing congenital anomalies.
( O ) b.) Pregnancy should be avoided for 3 months after the immunization.
( X ) c.) The client should avoid contact with children diagnosed with rubella.
( X ) d.) The injection will provide immunity against the 7-day measles.
RATIONALE: After administration of rubella vaccine, the client should be instructed to avoid pregnancy for at least 3 months to prevent the possibility of the vaccine's toxic effects to the fetus. The vaccine does not protect a future fetus from infection. Rather it protects the woman from developing the infection if exposed during pregnancy and subsequently causing harm to the fetus. The vaccine will provide immunity to rubella. The injection immunizes the client against the 3-day or German measles, not the 7-day measles. NURSING PROCESS STEP: Planning CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
