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A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?

A.

"This test determines if your baby is at risk for developing hypoglycemia after birth.".

B.

"This test will determine the amount of amniotic fluid around the fetus.".

C.

"This test studies blood flow in the fetus and placenta using ultrasound waves.".

D.

"This test will detect the presence of Rh-positive antibodies in your blood."

Answer and Explanation

The Correct Answer is D

Choice A rationale: 

This statement is incorrect. An indirect Coombs' test is not used to determine the risk of  hypoglycemia in a baby after birth. It is used to detect antibodies against red blood cells,  particularly in the context of blood incompatibility between a pregnant woman and her fetus. 

Choice B rationale: 

This statement is incorrect. An indirect Coombs' test is not related to determining the amount  of amniotic fluid around the fetus. It is used primarily to assess for Rh incompatibility  between the mother and fetus. 

Choice C rationale: 

This statement is incorrect. The test described here is a Doppler ultrasound, not an indirect  Coombs' test. Doppler ultrasound is used to study blood flow in the fetus and placenta using  ultrasound waves. 


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Related Questions

Correct Answer is A

Explanation

Choice A rationale:

The nurse should assess this client first as they are at 34 weeks of gestation and experiencing epigastric pain and headache. These symptoms could be indicative of preeclampsia, a serious pregnancy complication characterized by high blood pressure and organ damage. Preeclampsia requires immediate assessment and intervention to prevent further complications.

Choice B rationale:

Nausea and vomiting are common symptoms during the first trimester of pregnancy, and at 12 weeks of gestation, it is less likely to be a critical issue compared to potential preeclampsia.

Choice C rationale:

Painful urination may indicate a urinary tract infection, which can be important to assess and treat, but it is not as urgent as potential signs of preeclampsia in a client at 34 weeks of gestation.

Choice D rationale:

Cramping and spotting can be normal signs of impending labor, especially at 39 weeks of gestation. While it's important to assess this client, it is not the priority over potential preeclampsia in a client at 34 weeks of gestation with symptoms of epigastric pain and headache.

Correct Answer is D,C,B,A

Explanation

The correct sequence for suctioning a newborn with a bulb syringe, according to the information provided, is as follows: 1. Compress the bulb syringe (d) to expel the air. 2. Place the bulb syringe in the newborn’s mouth © to suction the mucus. 3. Use the bulb syringe to suction the newborn’s nose (b) after the mouth has been cleared. 4. Assess the newborn for reflex bradycardia (a) following the suctioning. This sequence ensures that the airway is cleared effectively and safely, minimizing the risk of inducing bradycardia by stimulating the vagus nerve during suctioning. Always remember to perform these steps gently and to follow the guidelines and protocols of your healthcare facility.

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