A nurse is caring for a pregnant client at 28 weeks gestation who has never received the Tdap vaccine.
When should the nurse recommend that this client receive the vaccine?
A nurse is caring for a pregnant client at 28 weeks gestation who has never received the Tdap vaccine.
When should the nurse recommend that this client receive the vaccine?
A. immediately after delivery
[21%]
B. between 27 and 36 weeks gestation
[59%]
C. during the first trimester
[12%]
D. before attempting conception
[7%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Immunizations
Item Type
Item Type
Application
Explanation
Choice B is correct. The CDC recommends the Tdap vaccine be administered between 27 and 36 weeks gestation in each pregnancy to provide passive immunity to the newborn.
Choice A is incorrect. While postpartum vaccination can still offer maternal protection, it doesn’t transfer antibodies to the fetus.
Choice C is incorrect. The first trimester is not the recommended window for Tdap vaccination.
Choice D is incorrect. Preconception vaccination may not provide sufficient passive immunity to the fetus during a later pregnancy.
Learning Objective
Identify the appropriate timing and rationale for maternal immunization during pregnancy to promote newborn health.
Related Videos
2 Key Topics
3rd Trimester
28.1 Pregnancy Basics & Early Assessment
Additional Info
✓ Tdap protects against pertussis (whooping cough), a potentially fatal illness in newborns.
✓ Other safe vaccines during pregnancy include inactivated influenza and hepatitis B.
