The nurse is discharging a new mother and notes she is not rubella-immune and administers the rubella vaccine.
The patient will breast-feed her infant and plans to get pregnant again as soon as possible. What is the most important information the nurse should give her about this immunization?
A) Advise her that the vaccine is excreted in breast milk
B) Warn her not to attempt another pregnancy for at least three months
C) Tell her that she may experience rash, sore throat, headache, general malaise, or some combination of these symptoms within two to four weeks of the injection
D) Advise her that the immunization will prevent hemolytic disease of the infant in her next pregnancy
Question 2
Which maternal reaction is cause for concern and should prompt a consultation with the RN?
A) Hesitation to take newborn when offered and expresses disappointment with the way the baby looks
B) Neglects to engage with or provide care for the baby and shows little interest in it
C) Tearful for several days and has difficulty eating and sleeping
D) Expresses doubt about her ability to care for the baby as well as the nurse can
The surgical nurse assists the client into the correct position
Immune Reactions
Nurse administering enteral nutrition through a feeding tube.
Cataracts seen in a child with congenital rubella syndrome.
J.S. Ondara - "Mother Christmas"
The immune response results from activation of the humoral and cell-mediated immune systems