An obsterician sees a pregnant patient who was exposed to rubella virus
in the eighteen week of pregnancy. She does not remember getting a
rubella vaccination. The best immediate course of action is to
A. Terminate the pregnancy
B. Order a rubella antibody titer to determine immune status
C. Reassure the patient because rubella is not a problem until after the thirtieth week
D. Administer rubella vaccine
A. Terminate the pregnancy
B. Order a rubella antibody titer to determine immune status
C. Reassure the patient because rubella is not a problem until after the thirtieth week
D. Administer rubella vaccine
Ans. B.
The highest risk of fetal infection with rubella
occurs during the first trimester. In seronegative patients, the risk of
infection exceeds 90%. However, before other measures (such as termination of
pregnancy) are considered, a rubella immune status must be performed. A rubella
titer of 1:10 is protective 