Author Question: Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select ... (Read 12 times)

yoroshambo · **on:** Jun 28, 2018

Which vaccinations are indicated for the postpartum client if she does not have immunity? (Select all that apply.)

a. Pertussis
b. Rubella
c. Diphtheria, tetanus (Tdap)
d. RhoGAM

Question 2

The nurse is teaching a nonbreastfeeding client measures to suppress lactation. Which should the nurse include in the teaching session? (Select all that apply.)

a. Avoid massaging the breasts.
b. Allow warm shower water to run over the breasts.
c. If the breasts become engorged, pumping is recommended .
d. Ice packs can be applied to the breasts to relieve discomfort.
e. Wear a sports bra 24 hours a day until the breasts become soft.

amit · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C
If a client who has delivered does not have evidence of immunity, CDC recommendations advise that pertussis, rubella, and Tdap should be administered. RhoGAM is required if there is evidence of sensitization in response to Rh factor identification based on maternal and fetal blood results.

Answer to Question 2

ANS: A, D, E
The client should be advised to avoid massaging the breasts because this will stimulate milk production. Instruct the client to wear a sports bra or other well-fitting bra 24 hours a day until the breasts become soft. Manage breast discomfort by application of ice, which reduces vasocongestion. Advise the client to refrain from allowing warm water to fall directly on the breasts during showers and pumping because these actions will stimulate milk production.