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A nurse is teaching a pregnant client who is Rh-negative about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

A.

"If my partner is Rh-negative, I will not receive the shot."

B.

"I will receive the shot after delivery if my baby is Rh-negative."

C.

"I should not receive any immunizations for 3 months after the shot."

D.

"This shot may be given after birth to protect future pregnancies."

Answer and Explanation

The Correct Answer is D

A. "If my partner is Rh-negative, I will not receive the shot.": Incorrect. Rho(D) immune globulin is administered based on the Rh status of the baby, not the partner. The client will receive the shot if the baby is Rh-positive or if the Rh status is unknown.

B. "I will receive the shot after delivery if my baby is Rh-negative.": Incorrect. Rho(D) immune globulin is given after delivery if the baby is Rh-positive. If the baby is Rh-negative, the shot is not necessary.

C. "I should not receive any immunizations for 3 months after the shot.": Incorrect. There are no restrictions on receiving other immunizations after receiving Rho(D) immune globulin, and there is no need to wait for 3 months.

D. "This shot may be given after birth to protect future pregnancies.": Correct. Rho(D) immune globulin is given postpartum if the baby is Rh-positive to prevent the development of antibodies that could affect future pregnancies.
 


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Related Questions

Correct Answer is B

Explanation

A. Incorrect. Restricting protein intake is not a recommended action for managing severe preeclampsia. Dietary management should focus on overall nutrition rather than specific protein restriction.

B. Correct. Seizure precautions should be initiated for clients with severe preeclampsia due to the risk of seizures, which are a potential complication of the condition.

C. Incorrect. The infusion of 0.9% sodium chloride is typically used for fluid management but the rate should be adjusted based on the client's fluid status and needs. A specific infusion rate may not be universally indicated.

D. Incorrect. Ambulation may not be advised in severe preeclampsia due to the risk of complications. Bed rest is often recommended to manage blood pressure and reduce stress on the body.

Correct Answer is D

Explanation

A. Incorrect. The foreskin should not be retracted forcibly, as this can cause pain or injury. It should only be gently retracted if the child allows it.

B. Incorrect. Using a cotton swab is not recommended as it can cause irritation. Cleaning should be done gently with the foreskin in its natural position.

C. Incorrect. Petroleum jelly is not necessary or recommended for uncircumcised care and may cause irritation.

D. Correct. Washing the penis once per day with soap and water is adequate for hygiene. The foreskin should not be retracted or cleaned aggressively.

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