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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Breast milk typically "comes in" or becomes more abundant between 3 to 5 days after birth as colostrum transitions to mature milk.
B. Within 2 days is too soon for most women to experience their milk "coming in."
C. 6 to 8 days is later than the typical timeframe for milk production to increase significantly.
D. About 10 days is longer than the average time for breast milk to "come in" for most postpartum women.
Correct Answer is A
Explanation
The correct answer is A.
Rationale for A: Drying the skin is crucial to prevent hypothermia, as newborns can quickly lose body heat. This action also stimulates the newborn and promotes circulation.
Rationale for B: Administering eye prophylaxis is important to prevent gonococcal ophthalmia, but it can be done after ensuring the newborn is warm and stable.
Rationale for C: Placing an identification bracelet is necessary for safety, but it is not as immediate a concern as ensuring the newborn's temperature is regulated.
Rationale for D: Administering vitamin K is important for preventing hemorrhagic disease in newborns, but it can be performed after addressing the newborn's immediate needs, such as warmth.
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