A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge.
Which statement by the client indicates a need for further teaching?
“I will need another dose of RhoGAM if I get pregnant again.”
“I will need to use contraception for at least three months.”
“I will need to have my blood type checked at my next visit.”
“I will need to avoid contact with anyone who has rubella.”.
The Correct Answer is D
The correct answer is choice D. “I will need to avoid contact with anyone who has rubella.” This statement indicates a need for further teaching because RhoGAM has nothing to do with rubella, which is a viral infection that can cause birth defects if contracted during pregnancy.
RhoGAM is given to prevent Rh incompatibility, which is a condition where the mother’s immune system attacks the baby’s blood cells if they have different Rh factors.
Choice A is wrong because the client will need another dose of RhoGAM only if she gets pregnant again with an Rh-positive baby.
Choice B is wrong because the client does not need to use contraception for at least three months after receiving RhoGAM.
Choice C is wrong because the client’s blood type does not change after receiving RhoGAM and does not need to be checked again.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Encourage the client to talk about her feelings and listen empathetically.
This action shows respect for the client’s emotions and helps her process her experience.
It also allows the nurse to provide support and reassurance.
Choice A is wrong because it dismisses the client’s feelings and implies that she should not be upset.
This can make the client feel guilty or invalidated.
Choice C is wrong because it blames the client for having unrealistic and unachievable expectations.
This can make the client feel ashamed or defensive.
Choice D is wrong because it suggests that the client needs professional counselling to cope with her emotions.
This can make the client feel stigmatized or abnormal.
Normal ranges for postpartum emotions vary depending on the individual and the circumstances.
However, some signs of postpartum depression or post-traumatic stress disorder include persistent sadness, anxiety, anger, guilt, flashbacks, nightmares, insomnia, loss of interest, difficulty bonding with the baby, or thoughts of harming oneself or the baby.
These symptoms should be reported to a healthcare provider as soon as possible.
Correct Answer is B
Explanation
A client who had a vertical incision on her uterus but a low transverse incision on her skin for her previous cesarean delivery has the highest risk of uterine rupture during labor.This is because a vertical incision on the uterus weakens the uterine wall and increases the risk of rupture during contractions.
Normal ranges for uterine rupture during labor are 0.2% to 1.5% for women who have had one previous cesarean delivery with a low transverse incision and 0.9% to 3.7% for women who have had two or more previous cesarean deliveries with low transverse incisions.
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