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.

Answer and Explanation

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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Correct Answer is ["B","E","F"]

Explanation

A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.

B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.

C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.

D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.

E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.

F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.

G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.

A. Genetic testing when the babies are delivered will need to be done to determine this. B. They are dizygotic because the ultrasound shows one is bigger than the other. C. The twins are dizygotic because they are not the same sex D. They are monozygotic because they are in different amniotic sacs.

Correct Answer is C

Explanation

A. Genetic testing is not necessary to determine if the twins are identical. Identical twins come from the same egg, while fraternal twins come from separate eggs.

B. The size difference alone does not determine whether twins are identical or fraternal.

C. Dizygotic twins (fraternal twins) are always of different sexes. This is because they are fertilized by two separate sperm and develop from two separate eggs.

D. Monozygotic twins (identical twins) occur when one fertilized egg splits into two embryos. The fact that they are different sexes rules out the possibility of monozygotic twins.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","E","F"]

Explanation

A woman is 28 weeks pregnant with twins. The ultrasound reveals that one twin is a boy and the other is a girl. The woman asks if her babies will be identical. The nurse will base her answer upon which of the following information.

Correct Answer is C

Explanation

A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.

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