# A 28-year-old primigravida at 28 weeks' gestation attends a routine prenatal visit. She asks which vaccines are safe and recommended for her during this pregnancy. Which statements by the nurse are appropriate? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=505787&lang=en  
> language: en  
> subject: Health Promotion and Maintenance  
> category: HPM

## Question

A 28-year-old primigravida at 28 weeks' gestation attends a routine prenatal visit. She asks which vaccines are safe and recommended for her during this pregnancy. Which statements by the nurse are appropriate? Select all that apply.

1

You should receive the inactivated influenza vaccine today.

2

The Tdap vaccine is recommended between 27 and 36 weeks.

3

Live attenuated influenza vaccine is safe during pregnancy.

4

MMR vaccine can be given now if you are not immune.

5

Varicella vaccine is recommended in the third trimester.

6

Hepatitis B vaccine is contraindicated during pregnancy.

## Explanation

Inactivated influenza vaccine is recommended during any trimester of pregnancy to protect the mother and newborn. Tdap is recommended between 27 and 36 weeks' gestation in each pregnancy to prevent pertussis in the infant. Live attenuated influenza vaccine, MMR, and varicella are live vaccines and are generally contraindicated during pregnancy. Hepatitis B vaccine is not contraindicated and may be given if indicated, so stating it is contraindicated is incorrect.

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