A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching?
Explanation & Rationale
A. "You cannot receive the Tdap vaccine until after you deliver.": The Tdap vaccine is recommended during each pregnancy, ideally between 27 and 36 weeks, to maximize antibody transfer to the fetus and protect the newborn from pertussis. B. "You should receive a varicella vaccine before you deliver.": The varicella vaccine is a live vaccine and contraindicated during pregnancy due to the risk of fetal harm. It should only be administered postpartum if the mother is non-immune. C. "You can receive an influenza vaccination during pregnancy.": The inactivated influenza vaccine is safe and recommended at any stage of pregnancy. It protects both the mother and fetus from influenza-related complications, making it an essential part of prenatal care. D. "You should not receive the rubella vaccine while breastfeeding.": Breastfeeding is not a contraindication to rubella vaccination. The rubella vaccine is contraindicated during pregnancy but safe to administer postpartum, even if the mother is breastfeeding.