A nurse is planning care for a client who is scheduled for an amniocentesis and is Rh negative. Which of the following actions should the nurse plan to take?

Irrigate the insertion site with sterile water before the procedure.

Administer Rh.(D) immune globulin after the procedure.

Position the client in a left lateral position during the procedure

Inform the client to be NPO for the procedure.

Answer and Explanation

The Correct Answer is B

A. Irrigating the insertion site with sterile water is not a standard part of the procedure.
B. Rh-negative clients are at risk for isoimmunization if fetal blood mixes with maternal blood during the procedure. Rh(D) immune globulin should be administered after the procedure to prevent Rh sensitization.
C. The client is usually positioned supine with a slight tilt to prevent vena cava compression, not strictly in a left lateral position.
D. Amniocentesis does not require the client to be NPO.

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Correct Answer is D

Explanation

A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.

A. "Remove your newborn's electronic monitoring band for bathing." B. “Limit visitors to your immediate family.” C. "Send the newborn to the nursery while you are sleeping - D. Check identification badges of staff who enter your room

Correct Answer is D

Explanation

A. The electronic monitoring band should remain on the newborn at all times to ensure security.
B. While visitor limitations may be advised during outbreaks or pandemics, this is not a standard newborn security measure.
C. Sending the newborn to the nursery unsupervised increases the risk of abduction and is not recommended.
D. Parents should be encouraged to verify staff identification to enhance newborn security and safety.

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A nurse is planning care for a client who is scheduled for an amniocentesis and is Rh negative. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

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