1. A 3-day postpartum client, who is not immune to rubella, is to receive the vaccine at discharge. Which of the

following must the nurse include in her discharge teaching regarding the vaccine?

1. The woman should not become pregnant for at least 4 weeks.

2. The woman should pump and dump her breast milk for 1 week.

3. The mother must wear a surgical mask when she cares for the baby.

4. Passive antibodies transported across the placenta will protect the baby.

208 MATERNAL AND NEWBORN SUCCESS

2. A 3-day-postpartum client questions why she is to receive the rubella vaccine before leaving the hospital.

Which of the following rationales should guide the nurse’s response?

1. The client’s obstetric status is optimal for receiving the vaccine.

2. The client’s immune system is highly responsive during the postpartum period.

3. The client’s baby will be high risk for acquiring rubella if the woman does not

receive the vaccine.

4. The client’s insurance company will pay for the shot if it is given during the immediate

postpartum period.

3. A patient, G2P1102, who delivered her baby 8 hours ago, now has a temperature of 100.2ºF. Which of the

following is the appropriate nursing intervention at this time?

1. Notify the doctor to get an order for acetaminophen.

2. Request an infectious disease consult from the doctor.

3. Provide the woman with cool compresses.

4. Encourage intake of water and other fluids.

4. To prevent infection, the nurse teaches the postpartum client to perform which of the following tasks?

1. Apply antibiotic ointment to the perineum daily