If a client is not immune to rubella during pregnancy, what does the nurse expect to be prescribed?

When a client is found to be not immune to rubella during pregnancy, the standard procedure is to retest the rubella titer later in the pregnancy. This is often done because immunity can develop during the course of pregnancy, particularly if the client is exposed to the virus. It is common practice to monitor the rubella status rather than immunize immediately during pregnancy, as vaccination is contraindicated while a woman is pregnant due to the possibility of transmitting the live virus to the fetus.

The retesting allows healthcare providers to make informed decisions regarding the need for further action. If a woman shows an increase in antibody levels, this may suggest that she has developed immunity. If she remains non-immune, the healthcare team can prepare for appropriate postpartum vaccination after delivery, which is the safest time to administer the rubella vaccine without any risk to the fetus.

The other options would not align with standard clinical guidelines. Immediate vaccination would pose risks during pregnancy, continual monitoring of fetal development may occur but is not a direct intervention aimed at the issue of rubella immunity, and referral to a specialist is not typically necessary just for a rubella immunity concern unless complications arise.