Author Question: A postpartum patient has just received a rubella vaccination. The patient demonstrates understanding ... (Read 78 times)

segrsyd · **on:** Jun 27, 2018

A postpartum patient has just received a rubella vaccination. The patient demonstrates understanding of the teaching associated with administration of this vaccine when she states:

1. I will need another vaccination in 3 months.
2. I must avoid getting pregnant for 1 month.
3. This will prevent me from getting chickenpox.
4. This will protect my newborn from getting the measles.

Question 2

The patient at 38 weeks' gestation has been diagnosed with oligohydramnios. Which statement indicates that teaching about the condition has been effective?

1. My gestational diabetes might have caused this problem to develop.
2. When I go into labor, I should come to the hospital right away.
3. This problem is common, and will likely occur with my next pregnancy.
4. Women with this condition usually go into labor after their due date.

yeungji · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: The patient will not need another vaccination in 3 months.
Rationale 2: The patient must avoid pregnancy for at least 4 weeks after receiving the rubella vaccine.
Rationale 3: The vaccination prevents measles, not chickenpox.
Rationale 4: The vaccination will only protect the patient receiving it; therefore, the newborn will not be protected until the child receives his own vaccination.

Answer to Question 2

2
Rationale 1: Gestational diabetes can lead to polyhydramnios, but does not cause oligohydramnios.
Rationale 2: The incidence of cord compression and resulting fetal distress is high when there is an inadequate amount of amniotic fluid to cushion the umbilical cord. Thus the patient with oligohydramnios should come to the hospital in early labor so that any fetal intolerance of labor that might develop is detected.
Rationale 3: Oligohydramnios occurs in 1 to 3 of pregnancies. It rarely recurs in subsequent pregnancies.
Rationale 4: The risk of fetal demise is increased with oligohydramnios. Labor is usually induced when the patient reaches term pregnancy to prevent fetal demise.