A nurse is reviewing vaccination records of a pregnant client during her first prenatal visit.
Which of the following vaccines is contraindicated during pregnancy?
A nurse is reviewing vaccination records of a pregnant client during her first prenatal visit.
Which of the following vaccines is contraindicated during pregnancy?
A. tetanus, diphtheria, and acellular pertussis (Tdap)
[7%]
B. inactivated influenza
[5%]
C. hepatitis B
[4%]
D. measles, mumps, and rubella (MMR)
[83%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Application
Explanation
Choice D is correct. MMR is a live vaccine and is contraindicated during pregnancy. It should be given at least 1 month before conception or postpartum.
Choice A is incorrect. Tdap is recommended during each pregnancy, ideally between 27–36 weeks.
Choice B is incorrect. Inactivated influenza vaccine is safe and recommended during flu season.
Choice C is incorrect. Hepatitis B is safe and recommended for clients at risk.
Learning Objective
Differentiate between vaccines that are safe and those contraindicated during pregnancy.
Related Videos
6 Key Topics
1st Trimester
28.1 Pregnancy Basics & Early Assessment
2nd Trimester
28.1 Pregnancy Basics & Early Assessment
3rd Trimester
28.1 Pregnancy Basics & Early Assessment
Additional Info
✓ Live vaccines (MMR, varicella, intranasal flu) are not given during pregnancy.
✓ Vaccines protect both the mother and fetus through passive immunity.
