A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause?
Transient clotting difficulties
Congenital hypothermia
Hypobilirubinemia
Hydrops fetalis
The Correct Answer is D
A. Rh incompatibility primarily affects erythrocytes, resulting in hemolysis rather than clotting abnormalities. Therefore, transient clotting difficulties are not typically associated with this condition.
B. Rh incompatibility doesn't directly cause hypothermia in newborns. The condition primarily leads to hemolytic disease of the newborn, which can result in jaundice, anemia, and other complications, but not hypothermia.
C. Rh incompatibility leads to an increase in bilirubin levels, causing hyperbilirubinemia rather than hypobilirubinemia. This increase in bilirubin levels can lead to jaundice and potentially severe neurological complications in the newborn.
D. This is a severe complication of Rh incompatibility where the fetus experiences severe edema due to hemolytic anemia and heart failure. It results from the destruction of fetal red blood cells by maternal antibodies against Rh-positive blood cells.
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Related Questions
Correct Answer is B
Explanation
A. It is generally advised to use additional forms of contraception or abstain from sexual activity for the first 7 days of the initial cycle.
B. If a pill is missed, the client should follow the specific instructions provided by the healthcare provider or the information leaflet, which typically involves taking the missed pill as soon as remembered and then continuing with the next dose at the regular time. Missed pills should be taken as soon as remembered, even if it means taking two pills in one day, and additional contraceptive measures may be necessary.
C. Increasing the dosage of an estrogen-progestin combination contraceptive for breakthrough bleeding is not a standard recommendation as this could lead to an increased risk of side effects. Breakthrough bleeding may occur, especially during the first few cycles of use, but it typically resolves on its own without the need for dosage adjustment.
D. There's no specific requirement to take combination contraceptives on an empty stomach. They can be taken with or without food, according to individual preference, but should be taken consistently at the same time each day to maximize effectiveness.
Correct Answer is ["0.5"]
Explanation
To administer the correct dose of vitamin K, which is 1 mg, the nurse should refer to the concentration of the available vitamin K injection.
The available concentration is 1 mg per 0.5 mL. Therefore, to deliver a dose of 1 mg, the nurse needs to administer 0.5 mL. When rounding to the nearest tenth, the amount remains 0.5 mL.
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