<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 34-year-old gravida 5, para 4 presents to the physician for prenatal care at 32 weeks of pregnancy. She comes from a rural region of Ethiopia and did not have appropriate prenatal care during previous pregnancies. She has no complaints of swelling, contractions, loss of fluid, or bleeding from the vagina. During her current pregnancy, she has received proper care and has completed the required laboratory and instrumental tests, which did not show any pathology. Her blood pressure is 13070 mm Hg, heart rate is 77min, respiratory rate is 15min, and temperature is 36.6C 97.8F. Her examination is consistent with a normal 32-weeks gestation. The patient tells the physician that she is going to deliver her child at home, without any medical aid. The physician inquires about her tetanus vaccination status. The patient reports that she had tetanus 1 year after her first delivery at the age of 16, and it was managed appropriately. She had no tetanus vaccinations since then. Which of the following statements is true?? A: The patient does not need vaccination because she has developed natural immunity against tetanus and will pass it to her baby., B: The patient is protected against tetanus due to her past medical history, so only the child is at risk of developing tetanus after an out-of-hospital delivery., C: The patient should receive at least 2 doses of tetanus toxoid within the 4-week interval to ensure that she and her baby will both have immunity against tetanus., D: The antibodies from tetanus immune globulin vaccine, if given to a pregnant woman, would not cross the placental barrier., E: Even if the patient receives appropriate tetanus vaccination, it will be necessary to administer toxoid to the newborn.,  <response>: This is a question about tetanus vaccination in pregnancy. The patient is a 34-year-old pregnant woman at 32 weeks gestation with no prenatal care until this pregnancy. She plans to deliver at home without medical assistance. She had tetanus 1 year after her first delivery at age 16 and no tetanus vaccinations since then. The question asks which statement about tetanus vaccination for this patient is true.To analyze:- The patients past tetanus infection does not provide lifelong immunity against tetanus. She is at risk of tetanus if she delivers at home without proper sterile technique.- Tetanus immunity wanes over time and she needs vaccination. - Tetanus vaccination in pregnancy will provide protection for both the mother and baby. Maternal antibodies cross the placenta.- The recommended vaccination schedule is at least 2 doses of tetanus toxoid 4 weeks apart. This will ensure protection.- The newborn will also need tetanus toxoid vaccination for its own protection.C: The patient should receive at least 2 doses of tetanus toxoid within the 4-week interval to ensure that she and her baby will both have immunity against tetanus. 