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?

Choice A rationale:

Decreased energy Rationale: Decreased energy is a common symptom during pregnancy due to hormonal changes and increased metabolic demands. While it can be uncomfortable for the client, it is not typically a cause for immediate concern. It is essential to educate the client about the normal changes in energy levels during pregnancy, and that this symptom alone does not warrant calling the provider.

Choice B rationale:

Urinary frequency Rationale: Urinary frequency is a common early pregnancy symptom, primarily attributed to hormonal changes and the growing uterus pressing on the bladder. While it is a normal symptom, it can also be associated with urinary tract infections or other urinary issues. The client should call her provider if she experiences urinary frequency to rule out any potential problems.

Choice C rationale:

Mood swings Rationale: Mood swings are a common occurrence during pregnancy due to hormonal fluctuations. While they can be distressing for the client, they are typically not a sign of an immediate issue that requires contacting the provider. The nurse should educate the client about mood swings being a part of the normal pregnancy experience.

Choice D rationale:

Facial edema Rationale: Facial edema, or swelling of the face, can occur during pregnancy due to fluid retention. However, this symptom is not typically a cause for immediate concern. The nurse should educate the client about normal pregnancy-related changes, including mild edema. Severe facial edema might be a sign of preeclampsia, a condition characterized by high blood pressure and organ damage, but it is generally not a common early sign in pregnancy.

The correct answer is choicea. “I should stimulate my nipples by squeezing softly.”

Choice A rationale:

Stimulating the nipples by squeezing them can encourage milk production, which is not recommended for a client who is bottle feeding and trying to reduce breast engorgement.

Choice B rationale:

Applying ice packs to the breasts can help reduce swelling and provide relief from engorgement.

Choice C rationale:

Wearing a snug-fitting bra can help support the breasts and reduce discomfort associated with engorgement.

Choice D rationale:

Placing crushed cabbage leaves on the breasts is a common home remedy that can help reduce swelling and discomfort from engorgement.