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    Hesi Rn compass exit B proctored exam

    The nurse is reviewing a pregnant client's prenatal immunization history. Which immunization should the nurse instruct the client to receive after pregnancy?

    Explanation & Rationale

    Rationale: A. Meningitis B: This vaccine is not routinely indicated during or after pregnancy unless there is a specific risk factor or outbreak. It is not a standard postpartum immunization. B. Measles, mumps, rubella: The MMR vaccine is live and contraindicated during pregnancy due to potential fetal harm. It should be given postpartum if the client is non-immune to prevent future infection. C. Diphtheria, pertussis, tetanus: The Tdap vaccine is safe and recommended during each pregnancy, ideally between 27 and 36 weeks gestation, to provide passive immunity to the newborn. D. Influenza vaccine: Inactivated influenza vaccine is recommended during pregnancy to protect both mother and baby. It should not be delayed until after pregnancy.

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