A nurse administers RhoGAM to an Rh-negative client after delivery of an Rh-positive newborn based on the understanding that this drug will prevent her from:

Choice A rationale

Dropper feeding for the initial post-operative period (typically 1–2 weeks) is a standard measure to minimize tension and stress on the newly repaired cleft lip suture line. Using a soft, controlled delivery method prevents the strong sucking action required for a bottle or straw, which could disrupt the delicate surgical approximation of the muscles and skin, compromising the cosmetic and functional outcome and increasing the risk of wound dehiscence or infection.

Choice B rationale

Introduction of solid food is inappropriate in the immediate post-operative phase, typically weeks to months after the procedure, depending on the infant's overall recovery and ability to tolerate thicker textures. Early introduction could introduce particulate matter to the surgical site, increasing the risk of contamination and infection. Furthermore, chewing and manipulation of solids would place excessive, potentially damaging, mechanical stress on the healing tissues.

Choice C rationale

Bottle feeding necessitates vigorous sucking and facial muscle movement to extract milk, which directly contradicts the post-operative goal of minimizing tension on the repair. The pressure created by sucking can exert shearing forces and excessive stretching on the surgically joined tissues, potentially leading to wound dehiscence (rupture or opening) or a less favorable long-term scar. Alternative feeding methods like a syringe or special cleft palate feeders are generally used.

Choice D rationale

Drinking from a straw requires a significant amount of negative pressure (suction) generated by the oral muscles and cheeks, which exerts substantial force on the healing lip structure. This forceful action is highly likely to disrupt the delicate surgical closure, leading to separation of the wound edges (dehiscence) and poor healing. Specialized feeding techniques are necessary to ensure adequate nutrition while protecting the surgical site integrity.

Step 1 is: Convert the child's weight from pounds to kilograms. The conversion factor is 1 kg ≈ 2.2 lbs. 44 lbs÷ 2.2 lbs/kg = 20 kg.

Step 2 is: Calculate the minimum safe daily dosage using the recommended range (25 mg/kg/24 h). 25 mg/kg/24 h× 20 kg = 500 mg/24 h.

Step 3 is: Calculate the maximum safe daily dosage using the recommended range (50 mg/kg/24 h). 50 mg/kg/24 h× 20 kg = 1000 mg/24 h.

Step 4 is: State the minimum and maximum safe daily dosage range. The safe daily dosage range is 500 𝐦𝐠/24 𝐡 to 1000 𝐦𝐠/24 𝐡.