A nurse is caring for a client who is postpartum.
Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

The correct answer is choice d. Use a postpartum depression-screening tool with the client.

Choice A rationale:

Arranging for counseling is important for long-term support, but the first step is to accurately assess the client’s condition using a screening tool.

Choice B rationale:

Requesting a prescription for an antidepressant may be necessary, but it should follow a proper assessment and diagnosis.

Choice C rationale:

Reinforcing teaching about rest and sleep is beneficial, but it does not address the immediate need to assess the severity of the client’s symptoms.

Choice D rationale:

Using a postpartum depression-screening tool is the first step to identify the severity of the client’s symptoms and determine the appropriate course of action.

The correct answer is choice b. Drying the newborn’s skin thoroughly.

Choice A rationale:

Maintaining ambient room temperature at 24° C (75° F) helps in reducing overall heat loss but does not specifically address evaporative heat loss. Evaporative heat loss occurs when moisture on the skin evaporates, cooling the skin.

Choice B rationale:

Drying the newborn’s skin thoroughly reduces evaporative heat loss by removing moisture that can evaporate and cool the skin. This is a critical action immediately after birth when the newborn is wet with amniotic fluid.

Choice C rationale:

Preventing air drafts helps reduce convective heat loss, not evaporative heat loss. Convective heat loss occurs when air currents carry heat away from the body.

Choice D rationale:

Placing the newborn on a warm surface helps reduce conductive heat loss, which occurs when the newborn’s body comes into contact with a cooler surface. This does not specifically address evaporative heat loss.

By thoroughly drying the newborn’s skin, the nurse effectively minimizes evaporative heat loss, ensuring the newborn maintains a stable body temperature.