You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother.

The pharmacy sends a 10,000 units in a 5ml vial.

How many mls will the nurse administer?

Choice A rationale

If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.

Choice B rationale

Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.

Choice C rationale

If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.

Choice D rationale

If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.

Choice A rationale

Unstable vital signs in a newborn could be attributed to various causes such as infection, respiratory issues, or cardiovascular problems. It is not directly linked to the absence of phytonadione injection.

Choice B rationale

Low glucose levels in a newborn can result from conditions like prematurity, maternal diabetes, or feeding issues and are not a direct consequence of the absence of a phytonadione injection.

Choice C rationale

Acrocyanosis, a bluish discoloration of the hands and feet, is a common and benign finding in newborns due to immature blood circulation and is not related to the absence of phytonadione.

Choice D rationale

Phytonadione (vitamin K) is essential for blood clotting. Absence of this injection can lead to bleeding issues, such as oozing at circumcision sites, due to vitamin K deficiency bleeding (VKDB).