During history-taking on a client considering pregnancy, the nurse should inquire whether the client has ever had
a. diphtheria.
b. mumps.
c. rubella.
d. typhoid fever.
C
Maternal rubella during the first trimester increases the fetal risk for congenital disorders. The nurse should ask the client if she has had rubella or has immunity to it. The nurse can suggest a rubella titer to confirm immunity. If immunity is lacking, the client can be vaccinated, but must wait at least 3 months before becoming pregnant.
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