The 18-year-old patient calls the clinic two weeks after receiving the 2nd vaccination in the three-dose series for human papillomavirus (HPV). She states, “I didn’t realize it when I got the vaccine, but I was 6 weeks pregnant. Will my baby be okay?” Which response by the nurse is most appropriate?

“There isn’t a lot of evidence to say if the HPV vaccine is dangerous during pregnancy.”. The HPV vaccine is a Category B medication: it might be safe. For this reason, the nurse informs the expectant mother about the lack of evidence. Although it is true the AAP recommends that individuals who are pregnant not receive the vaccine while pregnant, this response does not address the mother’s fear for the safety of her unborn child. No further testing or intervention is necessary for this patient related to receiving the HPV vaccine while pregnant. During the first 8 weeks of gestation, the fetus is at the most (not minimal) risk for birth defects related to medications.

The 18-year-old patient calls the clinic two weeks after receivin...

Category: Health Promotion and Maintenance
Difficulty: 7

Topics: Communication & Documentation Disease Prevention Prenatal Care Immunity Infection Medication and Blood Products Patient Education Sexuality and Reproduction

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The 18-year-old healthy female presents to the clinic requesting to receive the vaccinations her mother refused for her when she was a child. Reviewing the chart, the nurse notes the patient never received the measles, mumps, rubella (MMR) vaccine. Prior to administering the vaccination, which test is most important?

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