A client who is Rh-negative should receive Rho(D) immune globulin at which of the following times?

Routinely at 28 weeks of gestation.

After a spontaneous abortion.

Within 72 hours following delivery.

Following an amniocentesis.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Routinely administering Rho(D) immune globulin at 28 weeks of gestation is a standard prophylactic measure for Rh-negative pregnant clients. This timing provides protection against potential sensitization from fetal red blood cells that may cross the placenta during the third trimester, minimizing the risk of alloimmunization and hemolytic disease of the newborn.

Choice B rationale

A spontaneous abortion, regardless of gestational age, involves a potential mixing of maternal and fetal blood, especially if the fetus is Rh-positive. Administering Rho(D) immune globulin prevents the Rh-negative mother from developing antibodies to the Rh factor, thereby protecting future Rh-positive pregnancies from hemolytic disease.

Choice C rationale

Administering Rho(D) immune globulin within 72 hours following delivery of an Rh-positive infant is crucial for Rh-negative mothers. This prevents the mother from becoming sensitized to the Rh antigen after exposure to fetal red blood cells during birth. If sensitization occurs, subsequent Rh-positive pregnancies could be affected by hemolytic disease.

Choice D rationale

Amniocentesis, a procedure involving needle insertion into the uterus, carries a risk of fetomaternal hemorrhage and potential exposure of an Rh-negative mother to Rh-positive fetal blood. Administering Rho(D) immune globulin following this procedure is a prophylactic measure to prevent maternal sensitization and protect future Rh-positive pregnancies. .

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Correct Answer is A

Explanation

Choice A rationale

A democratic nurse leader consistently works to share leadership with the group. This leadership style is characterized by collaborative decision-making, where the leader involves team members in discussions and seeks their input. This fosters a sense of ownership, increases motivation, and leverages the collective intelligence of the group.

Choice B rationale

Moving the group toward the leader's goals is characteristic of a more autocratic or directive leadership style. A democratic leader, conversely, aims to establish shared goals through group consensus, ensuring that the team feels invested in and committed to the objectives they helped to shape.

Choice C rationale

Making little or no attempt to move the group is indicative of a laissez-faire leadership style, where the leader provides minimal guidance and allows the group to largely self-direct. This differs significantly from democratic leadership, which actively facilitates participation and guides the group through collaborative processes.

Choice D rationale

Dampening creativity is typically associated with autocratic or overly rigid leadership styles that stifle individual input and innovative thinking. Democratic leadership, by contrast, encourages open communication and diverse perspectives, thereby promoting and enhancing creativity within the team.

Correct Answer is ["9"]

Explanation

Step 1 is: Heart rate 120 BPM = 2 points (HR > 100 BPM).

Step 2 is: Strong cry = 2 points (Strong cry/cough).

Step 3 is: Well-flexed = 2 points (Well flexed).

Step 4 is: Reflex-crying = 2 points (Cry/sneeze).

Step 5 is: Body pink; acrocyanosis present in hands and feet = 1 point (Body pink, extremities blue).

Step 6 is: Add up all the points: 2 + 2 + 2 + 2 + 1 = 9.

Answer: 9.

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A client who is Rh-negative should receive Rho(D) immune globulin at which of the following times?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A democratic nurse leader consistently works to:

Correct Answer is A

Explanation

When calculating a 1-minute APGAR, the nurse evaluates the following assessment data: Heart rate 120 BPM; strong cry; well-flexed; reflex-crying: body pink; acrocyanosis present in hands and feet. In view of these findings, the nurse should assign an APGAR score of:

Correct Answer is ["9"]

Explanation

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