A woman who is diagnosed with rubella has a positive pregnancy test. Which information should the emergency department nurse provide to this client?

Question

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "As your pregnancy is in the first trimester, the effects of rubella will be limited."
2. "We suggest that your pregnancy be managed by an obstetrical practice specializing in high-risk pregnancy."
3. "Rubella can cause some minor problems with pregnancy, so you should make an obstetrical appointment in the next week or so."
4. "Some serious problems can occur when pregnant women have rubella."
5. "Your rubella symptoms will be much worse than those of a woman who is not pregnant."

Answer 1

2,4
Rationale 1: The most serious of rubella's effects occur in the first trimester.
Rationale 2: This woman's pregnancy is high-risk.
Rationale 3: Rubella's effects on pregnancy can be devastating. This client should seek care immediately.
Rationale 4: Effects of rubella in the fetus include cataracts, permanent hearing loss, cardiac malformations, and congenital rubella syndrome.
Rationale 5: Rubella symptoms in the woman are not made worse by pregnancy.