NCLEX-PN Exam Practice

Category - Patient Care

You are preparing to administer a rubella vaccination to a 2 day postpartum patient. Which of the following potential risks would you identify for this patient?
  1. Sunlight
  2. Scratching of the site
  3. Pregnancy within 2 to 3 months of vaccination
  4. Sexual intercourse with 2 to 3 months of vaccination
Explanation
Answer: C - The nurse would want to instruct the patient to avoid getting pregnant for the next 2 to 3 months. The rubella vaccination is a live virus that creates antibodies for immunity for 15 years. Sunlight is not issue for this vaccination. The patient may have some localized reaction to the vaccine, but it is mild and short lived.
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