A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?
The client is Rh positive and the newborn is Rh positive.
The client is Rh positive and the newborn is Rh negative.
The client is Rh negative and the newborn is Rh negative.
The client is Rh negative and the newborn is Rh positive.
The Correct Answer is D
Choice A rationale
If both the client and the newborn are Rh positive, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice B rationale
If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice C rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice D rationale
If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh incompatibility, and Rho(D) immune globulin is needed to prevent the development of Rh sensitization in future pregnancies. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Heavy vaginal bleeding at 39 weeks of gestation could be due to placental abruption or placenta previa, which necessitates immediate delivery to prevent maternal and fetal complications. Preparing for cesarean birth is crucial as it allows rapid delivery, reducing the risk of maternal hemorrhage and fetal hypoxia.
Choice B rationale
Performing a cervical examination can exacerbate bleeding in cases of placenta previa or placental abruption, making it unsafe. It can disturb the placenta and lead to further complications, so this option is not recommended.
Choice C rationale
Magnesium sulfate is used to prevent seizures in preeclampsia or eclampsia, not for managing heavy vaginal bleeding. Its use is unrelated to the immediate care of a client with heavy vaginal bleeding due to suspected placental issues.
Choice D rationale
Administering antibiotics is not the immediate priority in the case of heavy vaginal bleeding at 39 weeks of gestation. The focus should be on stabilizing the mother and preparing for delivery.
Correct Answer is B
Explanation
Choice A rationale
Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.
Choice B rationale
Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
Choice C rationale
Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.
Choice D rationale
Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.
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