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 A

Explanation

Choice A rationale

This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.

Choice B rationale

Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.

Choice C rationale

Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.

Choice D rationale

Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.

A. Chromosomal defect. B. Fetal lung maturity. C. Fetal heartbeat. D. Fetal position in utero.

Correct Answer is C

Explanation

Choice A rationale

Chromosomal defects are typically assessed using different tests, such as chorionic villus sampling or amniocentesis, rather than an ultrasound at this early stage.

Choice B rationale

Fetal lung maturity cannot be assessed at 9 weeks gestation because the lungs are not yet developed. This assessment is usually done later in pregnancy if preterm delivery is anticipated.

Choice C rationale

At 9 weeks gestation, the primary purpose of an ultrasound is to confirm the presence of a fetal heartbeat, which indicates a viable pregnancy.

Choice D rationale

The position of the fetus in utero is not a concern at this early stage of pregnancy. Fetal positioning becomes relevant later in pregnancy, closer to delivery.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a client who is coming in for her first prenatal visit and it is estimated to be 9 weeks gestation.An ultrasound is scheduled.The nurse should explain to the client that the ultrasound is being done today to assess for which of the following?

Correct Answer is C

Explanation

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