Normal pregnancy and antenatal care: immunisation: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Normal pregnancy and antenatal care: immunisation

Sample item

At her booking visit at 9 weeks, a woman is found to be non-immune to rubella. What is the correct advice?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Give MMR vaccine after delivery, before discharge

Rubella vaccine is a live attenuated vaccine and is avoided in pregnancy. A non-immune woman should be advised to avoid contact with rash illnesses and be vaccinated in the postpartum period. Breastfeeding is not a contraindication.

Option by option

  • A. Give MMR vaccine after delivery, before discharge (correct)

    Correct. Live vaccines are deferred until after delivery.

  • B. Give MMR vaccine at 20 weeks

    A live vaccine is avoided throughout pregnancy, not only in the first trimester.

  • C. Give MMR vaccine now

    A live vaccine is contraindicated during pregnancy.

  • D. Give rubella immunoglobulin every month

    Immunoglobulin is not given as routine prophylaxis through pregnancy.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Give MMR vaccine after delivery, before discharge. Rubella vaccine is a live attenuated vaccine and is avoided in pregnancy.

Why is "Give MMR vaccine at 20 weeks" not the answer?

A live vaccine is avoided throughout pregnancy, not only in the first trimester.

Why is "Give MMR vaccine now" not the answer?

A live vaccine is contraindicated during pregnancy.

Why is "Give rubella immunoglobulin every month" not the answer?

Immunoglobulin is not given as routine prophylaxis through pregnancy.

What concept does this question test?

It tests Normal pregnancy and antenatal care: immunisation in OBG. A non-immune woman should be advised to avoid contact with rash illnesses and be vaccinated in the postpartum period. Breastfeeding is not a contraindication.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Normal pregnancy and antenatal care: immunisation?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.