A patient in the prenatal clinic had a negative rubella titer. Which action by the nurse is most appropriate?
A.
Have the laboratory draw rubella titers as a double-check.
B.
Instruct the woman to avoid anyone who may have the disease.
C.
Prepare to administer a rubella vaccination to the woman.
D.
Reassure the woman that rubella has few fetal consequences.
ANS: B
Rubella (German measles) can cause fetal abnormalities if the pregnant woman contracts it during the first trimester, so all pregnant women are screened for immunity. A positive test means the woman is immune to the disease, whereas a negative test indicates susceptibility to it. The woman needs to avoid people who may be ill with rubella and be immunized after her delivery. There is no need for a double check of the results.
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The prospective payment system (PPS) is based on the concept that:
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