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:

The instruction to "cover the cord with the diaper" is incorrect. It's essential to keep the umbilical cord stump dry and exposed to air to promote healing. Covering it with a diaper can trap moisture and increase the risk of infection.

Choice B rationale:

The recommendation to "wrap the cord in petroleum jelly gauze" is not appropriate. Applying petroleum jelly or other ointments to the cord stump is not recommended, as it can also trap moisture and create an environment for bacterial growth.

Choice C rationale:

The instruction to "bathe the newborn with a washcloth until the cord stump falls off" is not the best practice. It's advisable to give sponge baths and avoid submerging the cord stump until it has completely dried and fallen off. Using a washcloth may cause unnecessary friction and irritation.

Choice D rationale:

The advice to "wash the cord daily with mild soap and water" is the correct instruction. Cleaning the cord stump with mild soap and water and then gently patting it dry with a clean cloth is a standard practice for cord care. Keeping the area clean helps prevent infection and promotes healing.

A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? The correct answer is choice B: Placenta previa.

Choice A rationale:

"Abruptio placentae.”. This choice is incorrect. Abruptio placentae is characterized by the premature separation of the placenta from the uterine wall, which can result in painful and dark red vaginal bleeding. It is associated with abdominal pain and fetal distress. In this case, the bleeding is described as painless and bright red, which is more indicative of placenta previa.

Choice C rationale:

"Preterm labor.”. This choice is incorrect. Preterm labor involves regular uterine contractions that result in cervical changes before 37 weeks of gestation. Painless, bright red vaginal bleeding is not typically associated with preterm labor. It is more often seen in placenta previa.

Choice D rationale:

"Threatened abortion.”. This choice is incorrect. Threatened abortion refers to vaginal bleeding in the first half of pregnancy, typically accompanied by mild uterine cramping. The bleeding is often associated with the possibility of miscarriage. However, the scenario described in the question occurs at 36 weeks of gestation, which is well into the third trimester and not within the typical timeframe for a threatened abortion.