A practical nurse is reinforcing health promotion guidelines for a 28-year-old client who is at 10 weeks of gestation. The client follows a strict kosher diet and reports having not received any vaccinations in the past five years. Which of the following actions should the nurse take to promote maternal and fetal health? (Select all that apply.)
- Verify the client's current rubella immunity status in the electronic health record.Cevap
- BPrepare to administer the live-attenuated measles, mumps, and rubella (MMR) vaccine during the current visit.
- Reinforce teaching about incorporating kosher-certified, iron-rich foods into the client's daily meals.Cevap
- DInform the client that strict adherence to a kosher diet must be suspended during pregnancy to prevent nutritional deficits.
- Plan to administer the inactivated influenza vaccine to the client to provide seasonal protection.Cevap
Cevap
The appropriate actions are to verify the client's rubella immunity status, reinforce teaching about kosher-certified iron-rich foods, and plan to administer the inactivated influenza vaccine.
During prenatal care, health promotion includes verifying immunity to teratogenic infections like rubella, administering safe vaccines such as the inactivated influenza shot, and providing culturally congruent nutritional education that respects the client's kosher diet.
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Prenatal Health Promotion and Disease Prevention