A woman is 10 weeks pregnant. Her initial prenatal laboratory screening test for rubella showed an antibody titer of less than 1:6. The woman calls the clinic and tells the nurse that she has been exposed to measles
The nurse's best response is: 1. "Since you are in your first trimester of pregnancy, this is not likely to be a problem."
2. "Would you like to see a counselor to talk about your options for the remainder of your pregnancy?"
3. "You should come to the clinic in the next day or two for further evaluation."
4. "You need to have a rubella vaccination immediately. Can you get a ride to the clinic today?"
3
Rationale:
1. Exposure to rubella in the first trimester has the greatest risk for causing congenital anomalies.
2. It is nontherapeutic to send the client to a counselor.
3. Exposure to rubella in the first trimester has the greatest risk for causing congenital anomalies. So the best advice for the client would be to come to the clinic in the next day or two to talk with the nurse and physician about her options.
4. Clients are not vaccinated during the pregnancy.
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