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Exam NCLEX-RN topic 5 question 8 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 8
Topic #: 5
[All NCLEX-RN Questions]

A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your blood tests reveal that you do not show immunity to the German measles."
Which notation will the nurse include in her plan of care for the client? "Will need . . .

  • A. Rh-immune globulin at the next visit"
  • B. Rh-immune globulin within 3 days of delivery"
  • C. Rubella vaccine at the next visit"
  • D. Rubella vaccine after delivery on the day of discharge"
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Suggested Answer: D 🗳️
(A) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (B) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (C) The rubella vaccine is not given during pregnancy because of its teratogenicity. (D) Nonimmune mothers are vaccinated early in the postpartum period to prevent future infection with the rubella virus.

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