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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Hypertonia is not a common manifestation of hypoglycemia. It can indicate other neurological conditions.
B. Correct. Jitteriness is a common sign of hypoglycemia in newborns, often observed as a result of low blood sugar levels.
C. Incorrect. Acrocyanosis, or bluish discoloration of the hands and feet, is a normal finding in newborns and is not specifically related to hypoglycemia.
D. Incorrect. Generalized petechiae can be associated with various conditions but is not a typical sign of hypoglycemia.
Correct Answer is B
Explanation
A. Discourage the client from looking at their breasts: Incorrect. Discouraging the client from looking at their breasts may prevent them from processing their feelings and adjusting to their new body image. It is important to support the client in exploring and accepting their changed body.
B. Recommend a support group for the client to attend: Correct. A support group can provide the client with emotional support and practical advice from others who have experienced similar challenges. This can help the client cope with changes in body image and emotional responses.
C. Tell the client you are so sorry for how devastated they must feel: Incorrect. While showing empathy is important, this response does not actively address the client's concerns or provide practical support. It is more beneficial to offer concrete resources and coping strategies.
D. Tell the client to focus on their postoperative recovery for now: Incorrect. Although focusing on recovery is important, it is also crucial to address the client's emotional concerns about body image. Ignoring these concerns may affect their overall emotional well-being.
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