Medical MCQ - An obstetrician sees a pregnant patient who was exposed to rubella virus in the eighteenth week of pregnancy. She does not remember getting a rubella vaccination. The best immediate course of action is to

An obstetrician sees a pregnant patient who was exposed to rubella virus in the eighteenth week of pregnancy. She does not remember getting a rubella vaccination. The best immediate course of action is to

Terminate the pregnancy

Order a rubella antibody titer to determine immune status

Reassure the patient because rubella is not a problem until after the thiieth week

Administer rubella immune globulin

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Correct Answer:

Order a rubella antibody titer to determine immune status

Description:

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.

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