Question

A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth.

A. Pneumococcal

B. Hepatitis

C. Human papillomavirus

D. Rubella .

2. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

A. “you will need to stay in a side-lying position for 30 minutes after each dose.”

B. “You will receive an IV infusion of oxytocin 1 hour after your last dose.”

C.” You will receive a magnesium supplement immediately following therapy.”

D.” You will need to have a full bladder before the therapy begins.”

3. A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching?

A. “This test will confirm fetal lung maturity “.

B. “This test will determine adequacy of placental perfusion”.

C. “This test will detect fetal infection”.

D. “This test will predict maternal readiness for labor”.

Answer 1

Answer:- 01 Option B is correct

Pregnant women who may are at risk for Hepatitis disease and have tested neagtive for the virus can also received the vaccine .It is used to protect the mother and baby against infection both before and after pregnancy

As we know that Hepatitis is may be vertical transfer so this is appropriate vaccine received before or after birth.

All other vaccine HPV, pneumococcal and Rubella contraindicated in pregnancy aur just after delivery., Because chances of congenital anomilies occurs.

Answer 02 :- Option B is correct option.

Misoprostol is given at 38 week through intravaginally to increase contractility of uterus and just after 1 hour IV administration of oxytocin also for INCREASING contractions amnily given in 2 nd stage of labour to expelled out the palcenta and other materials.

This contractions drugs does not give in full bladder because bladder muscles contract and chances of brust bladder it will cuase harm.

Never give side lying position after misoprostol administration because we want contraction so we need to make lithotomy type position.

Other all options are irrelevant to statement.

Answers:-03 Option D is correct answer

At end of pregnancy 38 to 41 week of pregnancy doctor schedule regular non stress test NST to monitor the health of baby . This is non invasive and most common test done to ensure fetal well being.

But according to Otpion given in question most appropriate Option is the maternal readiness predicted by this test because if a healthy baby then it's ready to silver.

@ For fetal infection we done aminocentecsis.

@ For fetal lung maturity we done lecthin and sphingomyelin ratio, and another test of amnotic fluid surfactant levels and lamellar body count test.

check for placental perfusion test done Velocity selective spin labeling test done.

So appropriate answer is Option D

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