Preconception care Quiz: Ace Your Exams

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A 32-year-old woman is evaluated for preconception counseling. She received two doses of the human papillomavirus (HPV) vaccine before 15 years of age; the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine 3 years ago; and the influenza and COVID-19 vaccines during the last influenza season. She has no medical problems and takes no medication. Vital signs are within normal limits and a comprehensive physical examination is within normal limits. Laboratory studies reveal a negative rubella antibody titer and a positive varicella antibody titer. Pregnancy test is negative. Which of the following is the most appropriate next step in management?

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Advise her to wait until after pregnancy to receive the rubella vaccine

Administer the varicella vaccine now

Administer the rubella vaccine at least one month before she attempts to conceive

Recommend receiving the rubella vaccine immediately after conception

Assure her that no additional vaccines are needed before pregnancy