A woman is RH neg and pregnant. Her previous baby was Rh positive. The nurse would be correct in telling her which of the following information?
You will receive Rhogam 4 days after delivery.
You will receive Rhogam at 28 weeks of pregnancy.
You do not need Rhogam because your previous baby was Rh
Your partner is at risk as well as the baby.
The Correct Answer is B
A. Rhogam is usually given at 28 weeks of pregnancy, not 4 days after delivery.
B. Rh-negative mothers who have had an Rh-positive baby are typically given Rhogam at 28 weeks gestation to prevent Rh sensitization. Rhogam is also given after delivery if the baby is Rh-positive.
C. Rhogam is necessary for Rh-negative women who have had an Rh-positive baby, as it helps prevent Rh sensitization in subsequent pregnancies.
D. Only the baby is at risk for Rh incompatibility, not the partner.
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Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.
B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.
C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.
D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.
E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.
Correct Answer is ["E","F"]
Explanation
A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.
B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.
C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.
D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).
E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.
F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.
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