What is the best response for a nurse advising a pregnant client who was exposed to rubella?

The most suitable response for a nurse advising a pregnant client who was exposed to rubella is one that reassures the client while providing information relevant to her immunity status. When a client’s rubella titer indicates immunity, it signifies that the client has adequate levels of antibodies to protect herself and her developing baby from rubella. This kind of reassurance is vital, as rubella infection during pregnancy can lead to serious congenital defects, and knowing that she is immune alleviates concerns regarding the risk to her fetus.

In this context, the appropriate response confirms the client’s wisdom in seeking advice and clarifies that her immune status mitigates any risk. Knowledge of the immunity helps in managing the emotional stress that often accompanies potential exposure to infectious diseases during pregnancy.

Other responses may not provide the same level of comfort or relevant information. For example, dismissing the concern outright downplays the potential effects of rubella, while discussing vaccination before having more children may be premature and not directly related to her current situation. Scheduling an immediate test implies a level of uncertainty that may exacerbate anxiety without addressing the client's current immunity status.