If rubella vaccine is indicated for a postpartum client, which ...

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If rubella vaccine is indicated for a postpartum client, which instructions to the client should be included?
 
  a. No specific instructions
  b. Drinking plenty of fluids to prevent fever
  c. Recommendation to stop breastfeeding for 24 hours after the injection
  d. Explanation of the risks of becoming pregnant within 28 days following injection

Question 2

Which is the best measure to prevent abdominal distention following a cesarean birth?
 
  a. Rectal suppositories
  b. Carbonated beverages
  c. Early and frequent ambulation
  d. Tightening and relaxing abdominal muscles

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Answer to Question 1

ANS: D
Potential risks to the fetus can occur if pregnancy results within 3 months after rubella vaccine administration. The mother does need to understand potential side effects and that pregnancy is discouraged for 3 months. The mother should be afebrile before the vaccine. Small amounts of the vaccine do cross the breast milk, but it is believed that there is no need to discontinue breastfeeding.

Answer to Question 2

ANS: C
Activity can aid the movement of accumulated gas in the gastrointestinal tract. Rectal suppositories can be helpful after distention occurs, but do not prevent it. Carbonated beverages may increase distention. Ambulation is the best prevention.