A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge.

Which statement by the client indicates a need for further teaching?

“I will need another dose of RhoGAM if I get pregnant again.”

“I will need to use contraception for at least three months.”

“I will need to have my blood type checked at my next visit.”

“I will need to avoid contact with anyone who has rubella.”.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. “I will need to avoid contact with anyone who has rubella.” This statement indicates a need for further teaching because RhoGAM has nothing to do with rubella, which is a viral infection that can cause birth defects if contracted during pregnancy.

RhoGAM is given to prevent Rh incompatibility, which is a condition where the mother’s immune system attacks the baby’s blood cells if they have different Rh factors.

Choice A is wrong because the client will need another dose of RhoGAM only if she gets pregnant again with an Rh-positive baby.

Choice B is wrong because the client does not need to use contraception for at least three months after receiving RhoGAM.

Choice C is wrong because the client’s blood type does not change after receiving RhoGAM and does not need to be checked again.

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Correct Answer is D

Explanation

The correct answer is choice D. Postpartum adaptation.

This is the process of adjusting to the physical, emotional, and social changes that occur after childbirth.The woman in the question shows signs of positive mood, confidence, and adequate support, which are indicators of successful postpartum adaptation.

Choice A is wrong because postpartum blues are characterized by mild depressive symptoms, such as mood swings, crying spells, irritability, and anxiety, that usually occur within the first few days after delivery and resolve within two weeks.

Choice B is wrong because postpartum depression is a more severe and persistent form of depression that affects 10-15% of women after childbirth.

It can cause symptoms such as sadness, hopelessness, guilt, loss of interest, insomnia, appetite changes, and suicidal thoughts.It usually requires treatment with psychotherapy and/or medication.

Choice C is wrong because postpartum psychosis is a rare but serious psychiatric emergency that affects 1-2 in every 1000 women after childbirth.

It can cause symptoms such as delusions, hallucinations, paranoia, confusion, agitation, and attempts to harm oneself or the baby.It usually requires hospitalization and treatment with mood stabilizers and antipsychotics.

A. Formula feeding provides more nutrients than breast milk. B. Formula feeding requires less time than breastfeeding. C. Formula feeding reduces bonding between mother and infant. D. Formula feeding increases risk for infection in infants.

Correct Answer is D

Explanation

Formula feeding increases risk for infection in infants.This is because breast milk contains antibodies and other germ-fighting factors that help protect the baby from infections, such as ear infections, diarrhea, respiratory infections and meningitis.Breast milk also provides ideal nutrition and is easily digested by the baby.

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A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge. Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a woman who gave birth four days ago. The nurse notes that the woman has a positive mood, expresses confidence in her ability to care for her infant, and reports adequate support from her partner and family. The nurse identifies these findings as indicators of:

Correct Answer is D

Explanation

A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead. The nurse should instruct the client that:

Correct Answer is D

Explanation

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A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge.

Which statement by the client indicates a need for further teaching?