Question

1. What are the current recommendations from the CDC regarding vaccines needed during pregnancy and/or the immediate post-partum period? Explain.

2. There are a wide variety of lab tests that are ordered throughout pregnancy. Below is a small sample. Complete the table.

Lab Test, Purpose, When is this checked? (if once then when?, if multiple times then when?), Possible results and How does the result alter the plan of care?

Urine

dipstick

Blood type

Rubella titer

Glucose tolerance test

Group B beta strep

Answer 1

1. CDC recommends that pregnant women get two vaccines during every pregnancy: the inactivated flu vaccine (the injection, not the live nasal flu vaccine) and the Tdap vaccine.

Flu vaccine
CDC recommends getting the flu vaccine if you are pregnant during flu season. While flu seasons vary in their timing, CDC recommends getting vaccinated by the end of October, if possible. Getting vaccinated later during flu season, though, can still be beneficial. Flu vaccines have been given to millions of pregnant women over the years, and scientific evidence shows that it is safe. Getting the flu vaccine during pregnancy is one of the best ways to protect yourself and your baby for several months after birth from flu-related complications.

Tdap vaccine
Pregnant women are also encouraged to get the Tdap vaccine at any time during pregnancy, but optimally between 27 and 36 weeks of each pregnancy, to protect yourself and your baby from pertussis, also known as whooping cough. This vaccine is recommended during every pregnancy, regardless of how long it has been since you previously received the Tdap vaccine. If you did not get a Tdap vaccine during your pregnancy and have never gotten it, CDC recommends that you get the vaccine immediately after giving birth.

It is safe for women to receive most vaccines right after giving birth, even while breastfeeding.

Lab Test	Purpose	When	Results	Care plan
Urine	The urinalysis tests for sugar, protein, ketones, bacteria, and blood cells to make sure you don't have a condition such as a UTI, gestational diabetes, or preeclampsia.	Prenatal and in every Trimester	Abnormal	Medications and change in food diet.
Dipstick	to confirm. Pregnancy,Sugar protein and blood Cells	initial and in Every month	Abnormal	Medicatioms and change in food diet
Blood type	to determine blood group and RH+/-	first trimester	A, B, AB, and O and RH+ and RH-RH- mobter will develop antigloblis that react with antigens on fetus RBC	She treated with an injection RH immune goblin at 28 weeks of pregnancy
Glucose tolerance test	To check Gestational Diabetes	At 24 and 28 weeks of pregnancy	A normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L). A blood glucose level between 140 and 199 mg/dL (7.8 and 11 mmol/L) is considered impaired glucose tolerance, or prediabetes. If you have prediabetes, you're at risk of eventually developing type 2 diabetes. You're also at risk of developing heart disease, even if you don't develop diabetes. A blood glucose level of 200 mg/dL (11.1 mmol/L) or higher may indicate diabetes	If results suggest that blood sugar levels are high, the doctor may recommend the following: following a healthful diet that is suitable for gestational diabetes getting enough exercise monitoring blood sugar levels attending more frequent screening and seeking medical help if glucose levels go up insulin use, in some cases
Group B Beta Strep	to identwomen who carry the bacteria	Between 35 and 38 weeks	Positive	Introvenous antibiotics at the begning of labor or rupture of membranes.
Rubella titre	To detect antibiotics that are made by the immune system to kill the rubella virus	when she get the signs and symptoms of rubella infection	Positive	If you have a positive GBS test and you do not have any symptoms or complications, the treatment is intravenous (IV) antibiotics at the beginning of labor or the rupture of membranes