A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin. Which of the following should be included in the teaching?

"It prevents the formation of Rh antibodies in mothers who are Rh negative."

"It destroys Rh antibodies in mothers who are Rh negative."

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

"It destroys Rh antibodies in newborns who are Rh positive."

Answer and Explanation

The Correct Answer is A

A. Rh (D) immunoglobulin, commonly known as Rhogam, is given to Rh-negative mothers to prevent the formation of Rh antibodies if the baby is Rh positive. This prevents Rh sensitization in future pregnancies, which could lead to hemolytic disease of the newborn.

B. Rh (D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers but rather prevents their formation.

C. Rh (D) immunoglobulin does not prevent the formation of Rh antibodies in Rh-positive

newborns but rather prevents the mother's immune system from producing antibodies against Rh-positive blood cells.

D. Rh (D) immunoglobulin does not destroy Rh antibodies in Rh-positive newborns. It is administered to Rh-negative mothers to prevent antibody formation.

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Correct Answer is C

Explanation

A. Using a basin during bathing is a safe practice to prevent accidental slips or falls.

B. Testing the water temperature before bathing is essential to prevent burns or scalds.

C. Baby powder is not recommended for preventing diaper rash as it can contribute to respiratory issues when inhaled by the baby and has been associated with an increased risk of respiratory
problems and infections.

D. Using mild soap is appropriate for newborn skin to prevent irritation.

A. "Place the retainer clip across the newborn's abdomen." B. "Keep the car seat rear-facing until the newborn can sit unsupported." C. "Position the newborn at a 45-degree angle in the car seat." D. "Place the shoulder harness straps below the level of the newborn's armpits."

Correct Answer is C

Explanation

a. "Place the retainer clip across the newborn's abdomen":

This statement is incorrect and potentially dangerous. The retainer clip should be positioned at the level of the armpits to secure the harness straps. Placing it across the abdomen could cause abdominal injury in the event of sudden braking or a crash.

b. "Keep the car seat rear-facing until the newborn can sit unsupported":

While this is generally true and important safety advice, it is not directly related to the positioning of the newborn in the car seat. Instead, it addresses the orientation of the car seat itself. Rear-facing car seats are safer for infants as they provide better protection for the head, neck, and spine in the event of a crash.

c. "Position the newborn at a 45-degree angle in the car seat":

This is the correct recommendation. Newborns should be positioned at a 45-degree angle in the car seat to prevent their head from falling forward and potentially obstructing their airway. Many car seats come with angle adjusters or indicators to help achieve this optimal positioning.

d. "Place the shoulder harness straps below the level of the newborn's armpits":

Placing the shoulder harness straps below the level of the newborn's armpits is incorrect. The straps should be positioned at or slightly below the level of the shoulders to provide proper restraint. Placing them too low increases the risk of the baby slipping out of the harness in the event of a crash.

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A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin. Which of the following should be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?

Correct Answer is C

Explanation

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