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Tdap pregnancy — USMLE Step 3 MCQ

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EasyOB/GYN (Prenatal / Contraception / Screening)Tdap pregnancyUSMLE Step 3

A 29-year-old gravida 1 para 0 at 30 weeks received Tdap 4 years ago. Pregnancy is uncomplicated. She asks whether another dose is needed to protect the newborn. Which of the following is the most appropriate screening recommendation?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Administer Tdap during this pregnancy

Tdap is recommended during each pregnancy, preferably at 27 to 36 weeks.

Reference: CDC immunization schedules, https://www.cdc.gov/vaccines/hcp/imz-schedules/index.html