The nurse discovers a new prescription for RhoGAM for a client who is about to undergo a diagnostic procedure.
The nurse will administer the RhoGAM after which procedure?
Amniocentesis.
Biophysical Profile.
Contraction stress test.
Nonstress test.
The Correct Answer is A
This is a diagnostic procedure that involves inserting a needle into the uterus to obtain a sample of amniotic fluid for testing.
This procedure can cause a small amount of fetal blood to enter the maternal circulation, which can trigger an immune response in Rh-negative women carrying Rh-positive fetuses.
RhoGAM is a medication that contains antibodies against the Rh factor and prevents the mother from developing her own antibodies that could harm the fetus or future pregnancies.
RhoGAM should be given within 72 hours after amniocentesis to Rh-negative women who are not already sensitized2.
Choice B.
Biophysical Profile is incorrect, as this is a noninvasive diagnostic procedure that involves ultrasound and fetal heart rate monitoring to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice C.
The contraction stress test is incorrect, as this is a noninvasive diagnostic procedure that involves inducing uterine contractions and monitoring fetal heart rate response to assess fetal oxygenation.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice D.
A nonstress test is incorrect, as this is a noninvasive diagnostic procedure that involves monitoring fetal heart rate and movement to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Therefore, choice A is the best answer to this question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Treatment for Juvenile idiopathic arthritis (JIA) involves the use of various medications to decrease pain, improve function and minimize potential joint damage.
These medications can include Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen, Disease-modifying antirheumatic drugs (DMARDs) such as Methotrexate, and other medications such as Indomethacin 1.
Choice A is incorrect because it only mentions one medication, Indomethacin.
Choice C is incorrect because it only mentions one medication, Methotrexate.
Choice D is incorrect because it only mentions one medication, Ibuprofen.
Correct Answer is D
Explanation
In patients with Duchenne muscular dystrophy (DMD), creatine kinase levels are often increased to levels that are 50-100 times the reference range.
Choice A is incorrect because lactate dehydrogenase is not typically elevated in DMD.
Choice B is incorrect because C-reactive protein is not typically elevated in DMD.
Choice C is incorrect because the erythrocyte sedimentation rate is not typically elevated in DMD.
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