A nurse is caring for a client who is Rh negative.
Which of the following findings would cause the nurse to administer Rh immunoglobulin?
Client is Rh positive and the newborn is Rh positive.
Client is Rh negative and the newborn is Rh positive.
Client is Rh positive and the newborn is Rh negative.
Client is Rh negative and the newborn is Rh negative.
The Correct Answer is B
Choice A rationale
If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.
Choice B rationale
Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.
Choice C rationale
If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.
Choice D rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A diaphragm must be left in place for at least 6 hours after intercourse to prevent sperm from reaching the uterus. This ensures effective contraception.
Choice B rationale
Depo-Provera is a long-acting contraceptive injection, and fertility can return within a few months after stopping, but it may take up to 9-10 months for some women to regain their regular menstrual cycles and fertility.
Choice C rationale
The Ortho Evra patch is a hormonal contraceptive that is applied weekly, not monthly. It needs to be replaced once a week for three weeks, followed by a patch-free week.
Choice D rationale
Male and female condoms should not be used together because they can create friction and cause either or both condoms to break or slip, reducing their effectiveness as contraceptives and increasing the risk of sexually transmitted infections.
Correct Answer is B
Explanation
Choice A rationale
If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.
Choice B rationale
Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.
Choice C rationale
If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.
Choice D rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.
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