A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.
The nurse should verify which of the following prior to administration?.
Client is Rh negative and the newborn is Rh negative.
Client is Rh positive and the newborn is Rh positive.
Client is Rh positive and the newborn is Rh negative.
Client is Rh negative and the newborn is Rh positive.
The Correct Answer is D
The correct answer is choice D.
Choice A rationale:
Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh negative.
Choice B rationale:
Rho (D) immunoglobulin is not administered when both the client and the newborn are Rh positive.
Choice C rationale:
Rho (D) immunoglobulin is not administered when the client is Rh positive and the newborn is Rh negative.
Choice D rationale:
Rho (D) immunoglobulin is administered when the client is Rh negative and the newborn is Rh positive. Therefore, this choice is correct.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.
Choice B rationale:
In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.
Choice C rationale:
The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).
Choice D rationale:
A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
This statement describes the second stage of labor, not the third. The second stage begins with full cervical dilation and ends with the delivery of the fetus.
Choice B rationale:
The third stage of labor does not end 48 hours after the delivery of the placenta. This choice is incorrect.
Choice C rationale:
While it’s important to ensure no placental fragments remain, the third stage of labor technically ends with the delivery of the placenta, not at this later point.
Choice D rationale:
This is the correct definition of the third stage of labor. It begins with the delivery of the fetus and ends with the delivery of the placenta.
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