A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

"If my partner is Rh-negative, I will not receive the shot."

"I will receive the shot after delivery if my baby is Rh-negative."

"I should not receive any immunizations for 3 months after the shot."

"This shot may be given after birth to protect future pregnancies."

Answer and Explanation

The Correct Answer is D

A. "If my partner is Rh-negative, I will not receive the shot.": Incorrect. Rho(D) immune globulin is administered based on the Rh status of the baby, not the partner. The client will receive the shot if the baby is Rh-positive or if the Rh status is unknown.

B. "I will receive the shot after delivery if my baby is Rh-negative.": Incorrect. Rho(D) immune globulin is given after delivery if the baby is Rh-positive. If the baby is Rh-negative, the shot is not necessary.

C. "I should not receive any immunizations for 3 months after the shot.": Incorrect. There are no restrictions on receiving other immunizations after receiving Rho(D) immune globulin, and there is no need to wait for 3 months.

D. "This shot may be given after birth to protect future pregnancies.": Correct. Rho(D) immune globulin is given postpartum if the baby is Rh-positive to prevent the development of antibodies that could affect future pregnancies.

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Correct Answer is D

Explanation

A. Incorrect. Periodic tingling of fingers is not typically considered a sign of a serious prenatal complication. It can be related to normal pregnancy changes such as carpal tunnel syndrome.

B. Incorrect. The absence of clonus is not indicative of a complication. Clonus, or the lack thereof, is a normal finding in the absence of significant neurological issues.

C. Incorrect. Leg cramps are a common issue during pregnancy and usually not a sign of a severe complication.

D. Correct. Blurred vision can be a sign of preeclampsia or other significant prenatal complications, and should be evaluated further to ensure proper management and safety for both the mother and fetus.

A. A client who gave birth 1 day ago and needs Rh(D) immune globulin B. A client who gave birth 3 days ago and reports breast fullness C. A client who gave birth 12 hr ago and reports an increase in urinary output D. A client who gave birth 8 hr ago and is saturating a perineal pad every hour

Correct Answer is D

Explanation

A. Incorrect. While the administration of Rh(D) immune globulin is important, it is not an immediate priority compared to more urgent postpartum concerns.

B. Incorrect. Breast fullness is common and usually resolves with proper breastfeeding or pumping; it does not generally indicate an immediate issue.

C. Incorrect. An increase in urinary output is a common physiological change after delivery and usually does not indicate an urgent issue.

D. Correct. Saturating a perineal pad every hour indicates heavy bleeding (potential postpartum hemorrhage) and requires immediate assessment and intervention to manage potential complications.

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A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings should the nurse identify as an indication of a potential prenatal complication?

Correct Answer is D

Explanation

A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

Correct Answer is D

Explanation

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