A pregnant woman is attending her second postpartum visit. ...

[tsand2]

A pregnant woman is attending her second postpartum visit. Prenatal lab work indicates she is not immune to the rubella virus. What is the most appropriate nursing intervention?
 
  a. Provide the rubella vaccine as ordered by the physician immediately.
  b. Inform the woman she should receive the vaccine in the hospital after delivery.
  c. Hold all immunizations until 1 month postpartum.
  d. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.

Question 2

When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease. Given this information, what lab test can the nurse anticipate the physician will order?
 
  a. Endovaginal ultrasound
  b. Pap test
  c. Complete blood count
  d. Hemoglobin electrophoresis

[nixon_s]

Answer to Question 1

ANS: B
The rubella vaccine is contraindicated during pregnancy. A woman should be instructed to avoid pregnancy for at least 1 month following rubella immunization. It is not necessary to hold all immunizations until 1 month postpartum.

Answer to Question 2

ANS: D
Hemoglobin electrophoresis identifies presence of sickle cell trait or disease (in women of African or Mediterranean descent). It is ordered in the first trimester, if indicated.