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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?

A.

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

B.

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

C.

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

D.

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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Related Questions

Correct Answer is A

Explanation

A. Left calf tenderness can be a sign of deep vein thrombosis (DVT), which is a serious postoperative complication and should be reported to the provider.
B. Moderate lochia rubra is an expected finding after a cesarean birth.
C. A urine output of 3,000 mL is within normal range and does not warrant immediate reporting to the provider.
D. Breast engorgement is an expected finding in the postpartum period, especially if the client is not breastfeeding. It does not require immediate reporting.

Correct Answer is A

Explanation

- A) The normal range for hemoglobin (Hgb) in a full-term newborn is approximately 14 to 24 g/dL. A level of 9.5 g/dL is considered low and can indicate anemia, which may require further investigation and treatment.

- B) A platelet count of 225,000/mm³ is within the normal range for a full-term newborn, which typically falls between 150,000 to 450,000/mm³. Therefore, this value would not need to be reported.

- C) A glucose level of 60 mg/dL is within the normal range for a full-term newborn, which is typically 40 to 60 mg/dL shortly after birth. This level indicates that the newborn's glucose is being regulated properly.

- D) A white blood cell (WBC) count of 10,000/mm³ is within the normal range for a full-term newborn, which can range from 9,000 to 30,000/mm³. This suggests the absence of infection or inflammation.

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