NBME 10. 178Q. Vaccinations 12-18 (1)

Question 1

Routine immunizations indicated during pregnancy include? 2

Answer 1

Inactivated influenza virus vaccine and the tetanus-diphtheria-acellular pertussis (Tdap) vaccine

Question 2

when is administered Tdap? weeks

Answer 2

27-36 weeks (third trimester)

Question 3

why Tdap is given in third trimester?

Answer 3

Before infants receive their own DTaP vaccine at age 2 months, maternal Tdap vaccines protect infants against neonatal tetanus and pertussis, which are associated with significant mortality.

Question 4

if few pregnancies, how often give Tdap?

Answer 4

To protect infants, patients should receive the Tdap each pregnancy (even if the pregnancies occur within the same year).

Question 5

was Q about wound due to knife. got Tdap 14 month ago in first pregnancy. why need again at the moment?

Answer 5

Pregnancy > wound

for wound: within last 10 years (in this case 14 month)
for pregnancy: got in first preg., not not in this + patient was in third trimester (32 weeks).

Therefore, need of Tdap is because pacient was not vaccinated in this pregnancy, not due to wound.

Question 6

whats about human papillomavirus vaccine?

Answer 6

Do no give. Inadequate safety data.

Question 7

when is given inactivated influenza virus?

Answer 7

vaccine may be indicated if it is influenza season.

Question 8

should we give measles-mumps-rubella?

Answer 8

dont give, it live vaccine

should not be administered during pregnancy because of the theoretical risk that a live vaccine may cause the infant to contract the disease