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.

Answer and Explanation

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. .

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Correct Answer is D

Explanation

Choice A rationale

The amnion is a membrane that encloses the amniotic fluid but does not provide nutrients to the embryo.

Choice B rationale

The chorion forms part of the placenta and contributes to nutrient and gas exchange once the placenta develops, but it does not provide nutrients before the placenta forms.

Choice C rationale

The allantois is involved in early fluid exchange and waste management but does not provide nutrients before the placenta forms.

Choice D rationale

The yolk sac provides nutrients to the developing embryo before the placenta is fully functional, supporting early embryonic development.

A. The client will be positioned in a prone position. B. The ultrasound will occur at 13 weeks of gestation. C. The ultrasound will be transvaginal. D. The client must have a full bladder.

Correct Answer is D

Explanation

Choice A rationale

The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.

Choice B rationale

The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.

Choice C rationale

The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.

Choice D rationale

The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.

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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?

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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?