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 C
Explanation
A. Methylergonovine is not indicated for preventing postpartum infections. Its primary action is on uterine smooth muscle to induce contractions, rather than having antimicrobial properties.
B. While methylergonovine can cause hypertension as a side effect, it's not used to prevent hypertension. It is used primarily to prevent or treat postpartum hemorrhage by promoting uterine contraction.
C. Methylergonovine is a uterotonic medication used to prevent or treat postpartum hemorrhage by causing uterine contractions, thereby reducing the risk of excessive bleeding after childbirth.
D. Methylergonovine does not prevent thromboembolic events; its mechanism of action primarily involves stimulation of uterine smooth muscle contraction rather than affecting blood coagulation.
Correct Answer is D
Explanation
A. Gentamycin ointment is typically applied to the affected area and then covered with a sterile dressing to enhance absorption and prevent contamination. Leaving it open to the air may reduce its effectiveness.
B. Gentamycin ointment is not known to cause blurry vision, as it is applied topically to the skin and does not typically affect vision.
C. Gentamycin ointment should only be applied to the specific area of infection as directed by the healthcare provider. Applying it to large areas unnecessarily may increase the risk of adverse effects and antibiotic resistance.
D. Proper cleansing of the affected area before applying gentamycin ointment helps remove debris and bacteria, promoting better medication absorption and effectiveness.
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