Reproductive System Q-Bank

Nurse Practitioner (NP) > NP Board Review Questions > Reproductive System

Q. A 26-year-old woman, who recently immigrated to the USA, visits your clinic for preconception counseling. She is in good health and has no medical complaints. However, her vaccination history, especially concerning measles, mumps, and rubella (MMR), is unclear. She is unsure if she has received the measles, mumps, rubella (MMR) vaccine. You consider doing a serology test to determine her immunity status. What is the most appropriate approach regarding the MMR vaccine for this patient who is planning to become pregnant?

Advise her to proceed with her pregnancy plans as intended and administer the MMR vaccine during the first trimester of pregnancy if she is found to be non-immune.
Avoid both the serology test and the MMR vaccine, as the vaccine is only effective during adolescence.
If serology indicates she is not immune, administer the MMR vaccine immediately.
If she is not immune, vaccinate her with the MMR vaccine and recommend delaying conception for at least 4 weeks.
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