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Question
A prenatal patient is in the tenth week of pregnancy. The patient believes there were exposed to rubella yesterday and is unsure of their immunization history. Which of the following responses by the nurse practitioner is appropriate?
a. Rubella is not likely to cross the placenta and infect the fetus.
b. The outcome of the pregnancy depends on the proximity to and length of time of the exposure.
c. If the patient is determined to be seronegative, they can receive the MMR vaccine postpartum.
d. A rubella titer should be performed. If seronegative, the patient should be immunized against rubella because immunization is less teratrogenic than the rubella virus.
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