Question

1. Carrie is a postpartum woman awaiting discharge. Because her rubella titer indicates that she is not immune, a rubella vaccination has been ordered before discharge. State what you would tell carrie with regard to this vaccination?

2. The physician has written the following order for a postpartum client: “Administer RhoGAM (Rh immunoglobulin) if indicated.” Describe the actions the nurse would take in fulfilling the order.

Answer 1

1. Rubella vaccine is contraindicated in pregnancy. But in postpartum period, we can administer rubella vaccine . After vaccination of rubella vaccine, avoid pregnancy for 3 months . Breast feeding is not contraindicated. So after rubella vaccine , Carrie can continue breast feeding .

2. The Rh negative mother, if delivered a Rh positive baby, she is indicated to receive Rh immunoglobulin within 72 hours of delivery. This helps the mother to prevent the development of antibodies against maternal antigen.. It helps to save the fetus in second pregnancy .