A nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

It prevents the formation of Rh antibodies.

It prevents the formation of Rh antibodies in newborns who are Rh positive.

It destroys Rh antibodies in mothers who are Rh negative.

It destroys Rh antibodies in newborns who are Rh positive.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rh(D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers. This is crucial to prevent Rh sensitization, which can lead to hemolytic disease of the newborn in current and future pregnancies.

Choice B rationale

Rh(D) immunoglobulin does not prevent the formation of Rh antibodies in newborns who are Rh positive. Instead, it works by preventing the mother's immune system from recognizing Rh-positive fetal cells.

Choice C rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers. Its purpose is to prevent the formation of these antibodies in the first place.

Choice D rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in newborns who are Rh positive. The newborn's immune system is not targeted by this immunoglobulin.

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Correct Answer is A

Explanation

Choice A rationale

Obtaining the client's personal and family medical history is essential during the initial prenatal visit. This history helps identify any genetic disorders or chronic conditions that might affect the pregnancy. It also provides insight into the client's overall health and any potential risk factors.

Choice B rationale

Information about prior pregnancies is important but not the first priority. Prior pregnancy information can provide insights into previous complications, but a comprehensive medical history should come first.

Choice C rationale

Checking the client's urine with a reagent strip is not the primary action during an initial visit. Urine tests are useful for detecting infections and certain conditions, but they come after a thorough history has been obtained.

Choice D rationale

Scheduling the client for prenatal laboratory testing is necessary, but it follows the initial assessment and history-taking. Laboratory tests help confirm the pregnancy and assess overall health but are not the first step.

Choice E rationale

Discussing chorionic villus sampling (CVS) is premature at this stage. CVS is a prenatal test conducted around 10-13 weeks for detecting chromosomal abnormalities, but it's not relevant during the initial visit without understanding the client's medical history.

A. It is important that we refer you to a nutritionist to discuss your eating disorder. B. Let's discuss how we can ensure adequate caloric intake and proper nutrients during your pregnancy. C. Your newborn is at high risk for developing complications. D. It is important that you incorporate meat products into your diet for protein during your pregnancy.

Correct Answer is B

Explanation

Choice A rationale

A plant-based diet is not an eating disorder. It is a lifestyle choice, and many people maintain good health with such diets, especially with proper nutritional planning.

Choice B rationale

Proper counseling can help ensure that the pregnant client receives adequate calories and nutrients, which is crucial for the health of both the mother and the developing baby. A balanced diet can be achieved with plant-based foods.

Choice C rationale

While certain nutrients may be more challenging to obtain from a plant-based diet, it doesn't inherently put the newborn at high risk for complications if the diet is well-planned and balanced.

Choice D rationale

It is possible to obtain all necessary proteins from plant-based sources. Incorporating a variety of plant proteins can provide the necessary amino acids for both the mother and developing baby.

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A nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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