A nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

It prevents the formation of Rh antibodies.

It prevents the formation of Rh antibodies in newborns who are Rh positive.

It destroys Rh antibodies in mothers who are Rh negative.

It destroys Rh antibodies in newborns who are Rh positive.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rh(D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers. This is crucial to prevent Rh sensitization, which can lead to hemolytic disease of the newborn in current and future pregnancies.

Choice B rationale

Rh(D) immunoglobulin does not prevent the formation of Rh antibodies in newborns who are Rh positive. Instead, it works by preventing the mother's immune system from recognizing Rh-positive fetal cells.

Choice C rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers. Its purpose is to prevent the formation of these antibodies in the first place.

Choice D rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in newborns who are Rh positive. The newborn's immune system is not targeted by this immunoglobulin.

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Correct Answer is D

Explanation

Choice A rationale

Limiting exercise to low-impact aerobics is safe and suitable for pregnant women.

Choice B rationale

Swimming is considered a safe and beneficial exercise during pregnancy.

Choice C rationale

Walking is a recommended form of exercise for pregnant women.

Choice D rationale

Sitting in a sauna is not advised during pregnancy due to risks of overheating and dehydration. .

A. A. "I need to be immunized against syphilis because there is no cure.”. B. "I can change the cat litter as long as I wear gloves.”. C. "The best way to prevent CMV is by thorough and consistent hand hygiene.”. D. "If my RPR is low, I will need a rubella vaccine at delivery.”.

Correct Answer is C

Explanation

Choice A rationale

Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.

Choice B rationale

Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.

Choice C rationale

The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.

Choice D rationale

RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.

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A nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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