A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause?
Transient clotting difficulties
Congenital hypothermia
Hypobilirubinemia
Hydrops fetalis
The Correct Answer is D
A. Rh incompatibility primarily affects erythrocytes, resulting in hemolysis rather than clotting abnormalities. Therefore, transient clotting difficulties are not typically associated with this condition.
B. Rh incompatibility doesn't directly cause hypothermia in newborns. The condition primarily leads to hemolytic disease of the newborn, which can result in jaundice, anemia, and other complications, but not hypothermia.
C. Rh incompatibility leads to an increase in bilirubin levels, causing hyperbilirubinemia rather than hypobilirubinemia. This increase in bilirubin levels can lead to jaundice and potentially severe neurological complications in the newborn.
D. This is a severe complication of Rh incompatibility where the fetus experiences severe edema due to hemolytic anemia and heart failure. It results from the destruction of fetal red blood cells by maternal antibodies against Rh-positive blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lithium carbonate is typically taken with food to minimize gastrointestinal side effects.
Taking it on an empty stomach may increase the risk of nausea and other GI symptoms.
B. It can take up to 3 weeks to see the full effects of lithium carbonate, which is used to treat bipolar disorder.
C. Clients do not need to follow a low-sodium diet; in fact, maintaining a consistent sodium intake is important while taking lithium,
D. While adequate fluid intake is important to prevent dehydration, there's no specific recommendation to limit fluid intake to 800 ounces per day. However, clients should be advised to maintain hydration and be cautious of excessive fluid intake, especially if they have kidney or cardiovascular issues.
Correct Answer is C
Explanation
A. Regular dental check-ups are important for clients taking phenytoin, as it can cause gum hyperplasia.
B. Phenytoin can interact with many medications, so it's essential for the client to inform their healthcare provider before starting any new medications.
C. Phenytoin is typically used as a long-term treatment for seizure disorders. Stopping the medication suddenly can increase the risk of seizures and should only be done under the guidance of a healthcare provider.
D. Phenytoin absorption can be affected by food, so taking it with meals can help reduce gastrointestinal side effects. However, it's important for the client to maintain consistent dosing and timing with or without meals.
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