Concerning rubella and Rh issues, nurses should be aware that:

1. breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus.
2. women should be warned that the rubella vaccination is teratogenic and they must avoid pregnancy 2 to 3 months after vaccination.
3. Rh immune globulin is safely administered IV because it cannot harm a nursing infant.
4. Rh immune globulin boosts the immune system and so enhances the effectiveness of vaccinations.


2
1. Incorrect. Because the live attenuated rubella virus is not communicable in breast milk, breastfeeding mothers can be vaccinated.
2. Correct. Woman should understand they must practice contraception for 2 to 3 months after being vaccinated.
3. Incorrect. Rh immune globulin is administered IM; it should never be given to an infant.
4. Incorrect. Rh immune globulin suppresses the immune system and so might thwart the rubella vaccination.

Nursing

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