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. Gravida 3, Para 2 B. Gravida 3, Para 3 C. Gravida 4, Para 2 D. Gravida 4, Para 3

Correct Answer is D

Explanation

A. Gravida 3, Para 2: Incorrect. This does not account for the client's current pregnancy. Gravida refers to the number of pregnancies, including the current one. Para refers to the number of pregnancies carried to a viable gestational age, not including spontaneous abortions before 20 weeks.

B. Gravida 3, Para 3: Incorrect. The client has been pregnant four times, not three. The Para number does not include the spontaneous abortion and should reflect viable births.

C. Gravida 4, Para 2: Incorrect. The client has had four pregnancies (including the current one), but has had three viable births (two full-term and one current pregnancy).

D. Gravida 4, Para 3: Correct. The client is pregnant for the fourth time (Gravida 4), and has had three pregnancies that resulted in viable births (two full-term newborns and the current pregnancy).

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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

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Correct Answer is D

Explanation

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