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 B

Explanation

A. Using a suction catheter is appropriate but may not be the quickest method for immediate airway clearance in this situation.
B. Suctioning the mouth with a bulb syringe is the priority action as it helps clear the airway of secretions and prevents aspiration, ensuring the newborn can breathe effectively.
C. Turning the newborn on his side can help with drainage but does not actively clear the airway, making it a less immediate priority.
D. Suctioning the nose is important, but the mouth should be cleared first to ensure a patent airway, making this option secondary.

A. 110/min B. 48/min C. 22/min D. 100/min

Correct Answer is B

Explanation

a. 110/min - This respiratory rate is higher than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.

b. 48/min - This respiratory rate falls within the expected reference range for a newborn, which is typically between 30 to 60 breaths per minute.

c. 22/min - This respiratory rate is lower than the expected reference range for a newborn. Newborns typically have respiratory rates between 30 to 60 breaths per minute.

d. 100/min - While this respiratory rate is within the expected range, it's at the upper end of the range for a newborn. Typically, newborns have respiratory rates between 30 to 60 breaths per minute, so a rate of 100/min may be considered slightly elevated.

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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

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