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 C
Explanation
Choice A rationale
Obtaining a set of vital signs is important but not the first action. Assessing responsiveness and activating emergency response takes precedence to ensure prompt intervention.
Choice B rationale
Assessing vaginal bleeding is necessary, but it should follow immediate life-saving actions like calling the rapid response team.
Choice C rationale
Calling the rapid response team should be the first action as it mobilizes a team of healthcare professionals to provide immediate advanced care, which is crucial in an unresponsive patient.
Choice D rationale
Notifying the provider is essential, but it should be done after the rapid response team is activated to ensure timely intervention.
Correct Answer is A
Explanation
Choice A rationale
Car seats should not be purchased used as their history is unknown. There might be unseen damages or recalls that could compromise the safety of the infant.
Choice B rationale
The chest clip should be at the infant's armpit level, not shoulder level. Incorrect positioning can affect the restraint system's efficiency.
Choice C rationale
Infants should not wear coats in their car seats because bulky clothing can prevent the harness from fitting snugly, reducing its effectiveness in a crash.
Choice D rationale
Infant car seats should remain rear-facing until at least the age of 2 or until they reach the maximum weight/height limit of the seat, not turn forward-facing at the first birthday.
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