A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin after the delivery of an infant who is Rh-positive. Which information should the practical nurse (PN) provide this client?
The R-positive factor from the fetus threatens her blood cells.
The mother should receive Rho(D) immune globulin when the baby is Rh-negative.
Rho(D) immune globulin is not necessary unless all pregnancies are Rh-positive.
Rho(D) immune globulin prevents maternal antibody formation for future Rh-positive babies.
The Correct Answer is D
When a Rh-negative mother gives birth to a Rh-positive baby, there is a risk that the mother's immune system will develop antibodies against the Rh-positive factor. These antibodies can cross the placenta in future pregnancies and atack the Rh-positive fetus, leading to hemolytic disease of the newborn. Rho(D) immune globulin is given after delivery to prevent the formation of these antibodies. The PN should explain this to the client and encourage her to reconsider her refusal of the treatment. Answers A, B, and C are incorrect and do not provide accurate information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is C
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Scoliosis screening is typically performed on early adolescent girls, as this is the age group that is most commonly affected by the condition. Early detection and intervention can help prevent the progression of scoliosis and improve outcomes.
Correct Answer is C
Explanation
Iron supplements are often recommended for pregnant women to prevent or treat anemia and to improve the iron status of both the mother and the baby ¹. During pregnancy, you need 27 milligrams of iron a day ². Iron is also found in some foods, such as meat, beans, and leafy greens ¹. So, it is recommended to increase dietary iron-rich foods.
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