Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)
A. Inactivated influenza.
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E). The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
B. Human papillomavirus.
The human papillomavirus vaccine is not recommended during pregnancy.
C. Varicella.
The varicella vaccine is not recommended during pregnancy.
D. Measles, mumps, and rubella.
The measles, mumps, and rubella vaccine is not recommended during pregnancy.
E. Diphtheria-acellular pertussis.
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E). The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Maternal Newborn 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
The nurse should plan to immunize the client with the inactivated influenza vaccine (A) and the diphtheria-acellular pertussis vaccine (E).
The Centers for Disease Control and Prevention (CDC) recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine and the Tdap vaccine.
The other vaccines listed are not recommended during pregnancy:
- The human papillomavirus vaccine is not recommended during pregnancy.
- The varicella vaccine is not recommended during pregnancy.
- The measles, mumps, and rubella vaccine is not recommended during pregnancy.
Similar Questions
A nurse is caring for a client who is in active labor and has gonorrhea.
For which of the following potential complications of gonorrhea should the nurse monitor?
A. Chorioamnionitis.
The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and fluid. The other choices are not potential complications of gonorrhea.
B. Vaginal laceration during birth.
Vaginal laceration during birth is not a complication of gonorrhea.
C. Oligohydramnios.
Oligohydramnios is not a complication of gonorrhea.
D. Excessive bleeding after birth.
Excessive bleeding after birth is not a complication of gonorrhea.
E. Excessive bleeding after birth.
Full Explanation
A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and fluid.
The other choices are not potential complications of gonorrhea:
B. Vaginal laceration during birth is not a complication of gonorrhea.
C. Oligohydramnios is not a complication of gonorrhea.
D. Excessive bleeding after birth is not a complication of gonorrhea.
A nurse is conducting a class for a group of clients about birth control.
Which of the following information should the nurse include in the teaching?
A. You should use spermicide 3 hours prior to sexual intercourse.
Choice A is incorrect because spermicide should be used immediately before sexual intercourse, not 3 hours prior.
B. Your fertility will return 6 months after your provider removes your IUD.
Choice B is incorrect because fertility can return immediately after IUD removal.
C. You will not need to use birth control for 1 month after receiving emergency contraception.
Choice C is incorrect because emergency contraception is intended for backup contraception only and not as a primary method of birth control.
D. You should have an annual examination to assess your diaphragm.
A nurse conducting a class for a group of clients about birth control should include information about having an annual examination to assess their diaphragm. A diaphragm should be replaced at least every 2 years and it’s important to bring it to an annual checkup so the healthcare provider can check the fit.
Full Explanation
A nurse conducting a class for a group of clients about birth control should include information about having an annual examination to assess their diaphragm.
A diaphragm should be replaced at least every 2 years and it’s important to
bring it to an annual checkup so the healthcare provider can check the fit.
Choice A is incorrect because spermicide should be used immediately before sexual intercourse, not 3 hours prior.
Choice B is incorrect because fertility can return immediately after IUD removal.
Choice C is incorrect because emergency contraception is intended for backup contraception only and not as a primary method of birth control
A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
A. "You should name the baby so she can have an identity.”
Choice A is incorrect because it is not appropriate for the nurse to suggest that the client should name the baby.
B. "If you don't hold the baby, it will make letting go much harder.”
Choice B is incorrect because it is not appropriate for the nurse to suggest that not holding the baby will make letting go much harder.
C. "I'm sure you will be able to have another baby when you're ready.”
Choice C is incorrect because it is not appropriate for the nurse to make assumptions about future pregnancies.
D. "You can bathe and dress your baby if you'd like to.”
A nurse caring for a client following a vaginal delivery of a term fetal demise should offer the client the option to bathe and dress their baby if they would like to.
Full Explanation
A nurse caring for a client following a vaginal delivery of a term fetal demise should offer the client the option to bathe and dress their baby if they would like to.
Choice A is incorrect because it is not appropriate for the nurse to suggest that the client should name the baby.
Choice B is incorrect because it is not appropriate for the nurse to suggest that not holding the baby will make letting go much harder.
Choice C is incorrect because it is not appropriate for the nurse to make assumptions about future pregnancies.