A postpartum woman's rubella titer shows that she is not protected against rubella. What instructions should she be given?
a. "You cannot receive the immunization until your six weeks' checkup."
b. "You will be given the vaccine the next time you get pregnant to protect that baby."
c. "After receiving the rubella vaccine, do not get pregnant for three months."
d. "If you plan to breastfeed, you cannot receive the vaccine until the baby is weaned."
ANS: C
Exposure to rubella during pregnancy can cause birth defects. The woman should avoid pregnancy for at least 3 months. The rubella vaccine is not a contraindication for breastfeeding.
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