A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?

An Rh-negative client who has an Rh-negative newborn

An Rh-negative client who has an Rh-positive newborn

An Rh-positive client who has an Rh-positive newborn

An Rh-positive client who has an Rh-negative newborn

Answer and Explanation

The Correct Answer is B

A.   If both the mother and the newborn are Rh-negative, there is no need for Rh (D. immune globulin.
B.   An Rh-negative mother carrying an Rh-positive baby is at risk for Rh incompatibility. She should receive Rh (D. immune globulin to prevent sensitization.
C.   If both the mother and the newborn are Rh-positive, there is no need for Rh (D. immune globulin.
D.   If the mother is Rh-positive and the newborn is Rh-negative, there is no need for Rh (D. immune globulin.

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Correct Answer is D

Explanation

A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

A. "I will make sure that just the nipple is in my baby's mouth." B. "I will lay my baby on a pillow at the level of my breast." C. "I will nurse my baby for 5 to 10 minutes on each breast." D. "I will apply vitamin E oil to my nipples after each feeding."

Correct Answer is B

Explanation

A: The baby should take in both the areola and nipple for effective breastfeeding, not just the nipple.
B: This position helps ensure that the baby's mouth is at the same level as the breast, which promotes proper latch and feeding.
C: The duration of breastfeeding can vary, and it's often recommended to nurse until the baby is satisfied rather than setting a specific time limit.
D: Applying vitamin E oil after each feeding is not a standard practice and is not necessary for successful breastfeeding.

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A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?

Nursing Test Bank

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A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?