A 28-Year-Old Woman, Gravida 1 Para 0, at 29 Weeks

question 674

Multiple Choice

A 28-year-old woman, gravida 1 para 0, at 29 weeks gestation comes to the office in the fall for routine prenatal care.  She has had no vaginal bleeding, abdominal pain, or leakage of fluid.  Fetal movements have been normal.  The patient has no chronic medical conditions.  Medications include a daily prenatal vitamin.  She does not use alcohol, tobacco, or illicit drugs.  She works as a kindergarten teacher.
Vital signs are normal; fetal heart rate is 140/min.  Fundal height is 29 cm.
Prenatal laboratory results showed a lack of immunity to rubella.  Ultrasounds have been normal.
Which of the following vaccines is recommended for this patient during pregnancy?

• A)Intranasal influenza vaccine
• B)Measles-mumps-rubella vaccine
• C)Pneumococcal vaccine
• D)Tetanus-diphtheria-pertussis vaccine
• E)Varicella-zoster vaccine

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