A nurse is caring for a client who is Rh negative.
Which of the following findings would cause the nurse to administer Rh immunoglobulin?

Choice A rationale

Clear fluid oozing from a pilonidal sinus is unrelated to congenital hip dysplasia and more associated with other conditions like pilonidal cysts.

Choice B rationale

A positive hip click can indicate hip instability but is not definitive for congenital hip dysplasia.

Choice C rationale

Erythema toxicum is a benign, self-limiting skin condition and does not relate to hip dysplasia.

Choice D rationale

Limited abduction of the hip is a key sign of congenital hip dysplasia, indicating restricted movement due to abnormal hip joint development. .

Choice A rationale

If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.

Choice B rationale

Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.

Choice C rationale

If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.

Choice D rationale

If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.