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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.
Choice B rationale
HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.
Choice C rationale
Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.
Choice D rationale
Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.
Correct Answer is A
Explanation
Choice A rationale
Iron needs significantly increase during pregnancy to support the increased blood volume, the formation of the placenta, and the growth of the fetus. Pregnant women often require additional iron to prevent anemia and ensure adequate oxygen transport to the baby.
Choice B rationale
While calcium requirements do increase during breastfeeding to support milk production, this statement is not directly related to the nutritional needs during pregnancy. The focus during pregnancy should be on adequate intake of nutrients that support both maternal and fetal health.
Choice C rationale
Vitamin E requirements do not decline during pregnancy. In fact, the need for antioxidants like vitamin E may increase to protect both the mother and developing fetus from oxidative stress.
Choice D rationale
While prenatal vitamins are important for meeting various nutritional needs during pregnancy, they do not always provide sufficient vitamin D. Some women may need additional supplementation based on their dietary intake, sun exposure, and individual health needs.
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