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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

The pattern of bowel movements is the most important information for the practical nurse (PN) to obtain when assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure who is being tested for a possible diagnosis of cystic fibrosis (CF). CF can cause thick, sticky mucus to build up in the digestive tract, leading to problems with digestion and absorption of nutrients. This can result in bulky, greasy stools and growth failure.

The number of respiratory infections since birth (Option A) and a description of the child's appetite (Option C) are also important pieces of information, but they are not as critical as the pattern of bowel movements. The number of siblings in the family ( Option B) is not directly relevant to the child's medical condition.

A. The child likes to wiggle the fingers on the hand of the aﬀected side. B. The child's radial pulse volume on the aﬀected arm is difficult to palpate. C. An accurate respiratory rate cannot be measured because of the child's crying. D. The parents of the child are requesting that the child receive an analgesic.

Correct Answer is B

Explanation

This could indicate reduced blood ﬂow to the aﬀected arm, which may be a sign of compartment syndrome. Compartment syndrome is a serious condition that requires immediate intervention by a registered nurse (RN). The other options may also require intervention, but they are not as urgent as the situation described in option B.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assisting with the admission of a 12-month-old child with a history of frequent colds and growth failure. Testing is being planned for a possible diagnosis of cystic fibrosis (CF). Which information is most important for the PN to obtain?

Correct Answer is D

Explanation

The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?

Correct Answer is B

Explanation

Which newborn assessment finding of 24-hour-old infant should the practical nurse (PN) report to the charge nurse immediately?

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The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

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