Raj. CHO -2025: Which vaccine is used for the pregnant woman?

Raj. CHO -2025

Obstetrics & Gynaecology

Medium

Appeared in: Raj. CHO -2025

Explanation

The Tetanus Toxoid (T.T.) vaccine is an inactivated toxoid, making it safe for administration during pregnancy.
It is recommended under the National Immunization Schedule (NIS) in India to prevent both maternal and neonatal tetanus.
Neonatal tetanus is a fatal disease affecting newborns, which can be prevented by immunizing the mother during pregnancy.
The antibodies developed by the mother are passed to the fetus, providing passive immunity to the newborn in the first few months of life.

Option A: Varicella (chickenpox) vaccine is a live-attenuated virus vaccine. Live vaccines are generally contraindicated during pregnancy due to the theoretical risk of the virus crossing the placenta and causing harm to the developing fetus.
Option C: The Bacillus Calmette-Guérin (B.C.G.) vaccine is also a live-attenuated vaccine. It is not recommended for routine use during pregnancy due to safety concerns associated with live vaccines.
Option D: This is not a valid medical answer choice and simply indicates that the user did not select an option.

Visual 1: Infographic: A clear chart showing 'Vaccines to Administer' (e.g., Tdap/T.T., Influenza) and 'Vaccines to Avoid' (e.g., MMR, Varicella, BCG) during pregnancy.
Visual 2: Timeline: A visual timeline of pregnancy showing the recommended schedule for T.T. or Tdap vaccination (e.g., first dose early in pregnancy, second dose 4 weeks later).

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Vaccination during pregnancy as background academic context rather than a clinical decision trigger.
A nurse's primary role is to educate pregnant women on the importance of recommended vaccines like T.T. and to screen for contraindications for other vaccines.
Accurate documentation of vaccination history is crucial. The nurse must verify if the woman has received T.T. in previous pregnancies to determine if a booster or a full course is needed.
Preventing neonatal tetanus through maternal immunization is a major public health success story, significantly reducing infant mortality.

How to Approach the Question

Identify the core of the question: It asks for a vaccine suitable for a pregnant woman.
Recall the fundamental principle of vaccination in pregnancy: Inactivated vaccines are generally safe, while live vaccines are generally contraindicated.
Evaluate each option: Classify each vaccine as live or inactivated.
Option A (Varicella): Live vaccine, so it's contraindicated.
Option B (T.T.): Inactivated toxoid, known to be given in pregnancy. This is a strong candidate.
Option C (B.C.G.): Live vaccine, so it's contraindicated.

Concept Tested & Keywords

Concept Tested: Vaccination during pregnancy
Stem keywords: vaccine, pregnant woman
Lead-in keywords: Which
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

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E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 276-535