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
Answer and explanation
A. Decreased maternal hormones during pregnancy might affect fetal development, but it is not directly linked to the assessment finding of flat areola with no bud in a newborn.
B. Preterm gestational age is the most likely condition indicated by the finding of flat areola with no bud. Breast tissue development in newborns correlates with gestational age. In preterm infants, the breast tissue is often less developed, resulting in a flat areola without a bud.
C. Ambiguous secondary sex characteristics refer to physical traits that do not distinctly fit typical definitions of male or female. The described finding of flat areola with no bud is a specific developmental feature rather than a characteristic of ambiguous secondary sex traits.
D. Congenital anomalies are structural or functional abnormalities present at birth, but the described finding of flat areola with no bud is more indicative of prematurity rather than a congenital anomaly.
Correct Answer is B
Explanation
A. A respiratory rate of 55 breaths per minute is within the normal range for a full-term newborn, which is generally between 30 and 60 breaths per minute.
B. A heart rate of 72 beats per minute is significantly lower than the normal range for a newborn. Normal heart rates for newborns typically range from 120 to 160 beats per minute. A heart rate this low could indicate bradycardia, which requires immediate assessment and intervention.
C. A temperature 36.5° C (97.7° F) is slightly below the normal range for newborns, which is typically between 36.6°C to 37.2°C (97.9°F to 99.0°F). However, it may not be immediately concerning unless it is part of a pattern or accompanied by other symptoms.
D. A blood pressure reading of 80/50 mm Hg is within the expected range for a full-term newborn, where typical values are approximately 60-80 mm Hg for systolic and 40-50 mm Hg for diastolic.
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