A charge nurse is teaching a newly licensed nurse about Rh,(D) immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rho(D) immune globulin?
Prescription for an amniocentesis
Anemia
Hyperemesis gravidarum
Rh-positive blood test results
The Correct Answer is D
: Rh-positive blood test results. Rho(D) immune globulin is indicated for Rh-negative women who are pregnant and for those who have had a miscarriage, ectopic pregnancy, or induced abortion. It is also indicated for Rh-negative women who give birth to Rh-positive infants. The administration of Rho(D) immune globulin prevents the Rh-negative mother from forming antibodies against Rh-positive fetal cells that may have entered her bloodstream.
Choice A, prescription for an amniocentesis, is not an indication for the administration of Rho(D) immune globulin. Choice B, anemia, and choice C, hyperemesis gravidarum, are also not indications for the administration of Rho(D) immune globulin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client who understands the teaching on listeriosis and dietary modifications during pregnancy states that they can eat grilled chicken on a bun at lunchtime. Listeriosis is a bacterial infection that can cause miscarriage, stillbirth, or severe illness in newborns. Clients should avoid certain high-risk foods during pregnancy, such as soft cheeses, deli meats, seafood salads, and hot dogs. Grilled chicken on a bun is a safe option for the client to consume.
Correct Answer is B
Explanation
Pour warm water over the client's perineum. The nurse should first attempt non-invasive measures to treat bladder distention, such as pouring warm water over the client's perineum, to promote relaxation of the perineal muscles and increase urinary flow. If this measure is unsuccessful, the nurse may need to proceed with catheterization. However, catheterization can increase the client's risk for infection and trauma, so it should not be the first-line intervention. A sitz bath can also be helpful in treating bladder distention but is not as effective as warm water application directly to the perineum. Assisting the client to the bathroom is not indicated since the client is experiencing bladder distention, which can lead to difficulty emptying the bladder.
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